DR. STEPHEN J CHADWICK (NPI# 1104883735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104883735 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN J CHADWICK |
| Credential | M.D. |
| Practice Address |
101 W Mckinley Ave Enta Allergy, Head & Neck Institute Decatur IL 62522 |
| Mailing Address |
2300 N Edward St Gsbll Decatur IL 62526-4163 |
| Practice Telephone | 2178763682 |
| Practice Fax Number | 2178763345 |
| Mailing Telephone | 2178762868 |
| Mailing Fax Number | 2178762874 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 036058535 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036058535 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689742363 | Stephen Charles Chadwick | Dentist | 118 Merrimack St, Haverhill, MA 01831 | 2006-12-01 |
| 1972579456 | Stephen C Chadwick | Dentist | 1005 Tanner Ford Blvd, Suite 102, Hanahan, SC 29410 | 2006-02-24 |
| 1225263213 | Stephen Gregory Chadwick | Dentist | 6222 Ne 74th St, Seattle, WA 98115-8158 | 2009-05-20 |
| Street Address |
101 W MCKINLEY AVE ENTA ALLERGY, HEAD & NECK INSTITUTE |
| City | DECATUR |
| State | IL |
| Zip Code | 62522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982123774 | Loretta Louise Hedges | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-13 |
| 1831617224 | Hannah Suzanne Gray | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-06 |
| 1194247239 | Alyssa Dale Fitzgerald | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-07-11 |
| 1932657038 | Ashley Patel | Physician Assistant | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2016-09-17 |
| 1922410851 | Therese Kistenfeger | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2014-05-27 |
| 1184875189 | Associated Otolaryngologists of Decatur | Hearing Aid Equipment | 101 W Mckinley Ave, 101w Mckinley Ave, Decatur, IL 62526-3286 | 2008-10-08 |
| 1952570947 | James Klemens | Audiologist-Hearing Aid Fitter | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2008-02-25 |
| 1568646842 | Jeffrey Michael Ulis | Otolaryngology | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2007-12-22 |
| 1598722712 | Steven M Sobol | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 | 2006-05-01 |
| 1043278013 | Bethany T Gibson | Allergy & Immunology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
| 1588808323 | Paul D. Potter, D.d.s., Ltd | Dentist | 280 West North St, Decatur, IL 62522 | 2009-04-23 |
| 1801059100 | Melissa Ann Burnett | Dentist | 301 W North Street, Decatur, IL 62522 | 2008-07-07 |
| 1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
| 1033328349 | Jurgens & Kneezel Ltd | Dentist | 334 W Main Street, Decatur, IL 62522 | 2007-05-22 |
| 1740371905 | Randy Curtis Kneezel | Dentist | 334 W Main, Decatur, IL 62522 | 2006-09-27 |
| 1457373375 | Patricia Elaine Norton | Dentist | 1099 W Wood St, Suite E, Decatur, IL 62522 | 2006-07-24 |
| 1417408386 | Heritage Behavioral Health Center | Community/Behavioral Health | 955 N Main St, Decatur, IL 62522 | 2016-10-17 |
| 1467522466 | Alan Russell Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-11-08 |
| 1215011713 | Carl Edward Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-10-24 |
| Find all providers in zip 62522 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679720726 | Waymond Jay Pettit | Otolaryngology | 3620 S Taylor Rd, Decatur, IL 62521-9015 | 2008-08-20 |
| 1174589634 | Joanne Pham | Otolaryngology | 1600 W Business 380, Suite A, Decatur, TX 76234-3281 | 2006-04-25 |
| 1851356083 | Willis P Callins | Otolaryngology | 4288 Memorial Dr, Ste D, Decatur, GA 30032-1229 | 2006-04-19 |
| 1265413124 | Sage Kinney Copeland | Otolaryngology | 1218 13th Ave Se, Decatur, AL 35601-4307 | 2005-11-08 |
| 1275531907 | Jenny Christine Kim | Otolaryngology | 484 Irvin Ct, Ste 140, Decatur, GA 30030-5406 | 2005-07-07 |
| 1275857542 | Shivan H Amin | Otolaryngology | 2675 N Decatur Rd, Ste 707, Decatur, GA 30033-6131 | 2010-03-16 |
| 1568646842 | Jeffrey Michael Ulis | Otolaryngology | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2007-12-22 |
| 1538254727 | Charles R. Potter, M.d., L.L.C. | Otolaryngology | 1770 E Lake Shore Dr, Suite 306, Decatur, IL 62521-3832 | 2006-10-04 |
| 1760597363 | Michelle Marie Cullen | Otolaryngology | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-08-21 |
| 1528026580 | Terence R Woods | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 | 2006-05-01 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.