Stefaniuk, Mark A
Stefaniuk, Mark A is an individual health care provider with primary practice located at 3633 W Lake Ave Ste 108 , Glenview IL 60026-5801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stefaniuk, Mark A can be contacted via phone (847) 510-2805.Contact Information
Primary practice address
3633 W Lake Ave Ste 108
Glenview IL 60026-5801
Phone: (847) 510-2805
Fax: (847) 510-2806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 89349 (ID#) | North Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-109698 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036109698 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-109698 | Illinois |
Profile Details
| NPI number | 1013932409 |
|---|---|
| LBN Legal business name | Stefaniuk, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 14th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013932409 | NPPES |
| Illinois | MEDICAID | 036109698-4 | |
| Illinois | MEDICAID | 036109698 |
Popular Providers
-
Miller, Deborah Elizabeth
2050 Pfingsten Rd Ste 200 , Glenview IL 60026 -
Vergara, Esther Francine
1255 Milwaukee Ave , Glenview IL 60025-2425 -
Pithadia, Anish Pravin
3633 W Lake Ave Ste 108 , Glenview IL 60026-5801 -
Ali, Ayesha
2701 Patriot Blvd Ste 110 , Glenview IL 60026-8039 -
Temple, Leslie Mendoza
2400 Chestnut Ave Suite A, Glenview IL 60026-8321 -
Drexler, Mark Allen
2550 Compass Rd Suite A-B, Glenview IL 60026-8031 -
Meyer, Scott J
2550 Compass Rd Ste C&D , Glenview IL 60026-1610 -
Shoolin, Joel Steven
1255 Milwaukee Ave , Glenview IL 60025-2425