Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036081607 | IL |
Y | 207RI0011X | Interventional Cardiology | 036081607 | IL |
NPI | 1104880376 |
---|---|
Provider Name | Dr. Joseph F Stella |
First Address | Palos Park, IL 60464-1508 |
Second Address | Mokena, IL 60448-8802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 04/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01621208 | BLUECROSS BLUE SHIELD (01) | IL |
036081607 | (05) | IL |
060066666 | RAILROAD MEDICARE WILL (01) | IL |
060066669 | RAILROAD MEDICARE COOK (01) | IL |
1508810086 | HEART CARE CENTERS OF ILLINOIS GROUP NPI (01) | IL |
236550 | MEDICARE GROUP (01) | IL |
236551 | MEDICARE GROUP (01) | IL |
416810 | MEDICARE GROUP (01) | IL |
CD8033 | RAILROAD MEDICARE GROUP PTAN NUMBER (01) | IL |
CG1672 | RAILROAD MEDICARE GROUP PTAN NUMBER (01) | IL |
CN2703 | RAILROAD MEDICARE GROUP PTAN NUMBER (01) | IL |
G37573 | (02) | |
P00262173 | RAILROAD MEDICARE KANKAKEE (01) | IL |