Stella, Dominick J

Stella, Dominick J is an individual health care provider with primary practice located at 13011 S 104Th Ave Ste 100 , Palos Park IL 60464-1508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Stella, Dominick J can be contacted via phone (708) 274-3278.

Contact Information

Primary practice address
13011 S 104Th Ave Ste 100 Palos Park IL 60464-1508
Phone: (708) 274-3278
Fax: (708) 274-3299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036095778 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036095778 Illinois

Profile Details

NPI number 1932163623
LBN Legal business name Stella, Dominick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Sep 4th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932163623 NPPES
Illinois MEDICAID 036095778
Illinois Other 01621208
Illinois Other 236551
Illinois Other CD8033
Illinois Other 060069036
Illinois Other 1508810086
Illinois Other 236550
Illinois Other CG1672
Illinois Other P00311979
Illinois Other 416810

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