STEVEN STAKENAS (NPI# 1558459099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558459099 |
| Entity Type | Individual |
| Full Name | STEVEN STAKENAS |
| Credential | NP |
| Practice Address |
4700 Gilbert Ave Suite 52 Western Springs IL 60558-1753 |
| Practice Telephone | 7083871737 |
| Practice Fax Number | 7087948672 |
| Mailing Telephone | 7083871737 |
| Mailing Fax Number | 7087948672 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209-006058 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PENDING | 05 |
| Street Address |
4700 GILBERT AVE SUITE 52 |
| City | WESTERN SPRINGS |
| State | IL |
| Zip Code | 60558-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650004 | Timothy Dale Kisner | Physical Therapist | 4700 Gilbert Ave, Suite 43a, Western Springs, IL 60558-1753 | 2005-12-16 |
| 1083124176 | Jessica Milos | Pharmacist | 4700 Gilbert Ave, Western Springs, IL 60558-1753 | 2017-10-03 |
| 1275069296 | Lawrence Kocen | Physician Assistant | 4700 Gilbert Ave, Suite 51,52, Western Springs, IL 60558-1753 | 2017-05-11 |
| 1760913883 | Janis Noone | Nurse Practitioner | 4700 Gilbert Ave, Suite 52, 51, Western Springs, IL 60558-1753 | 2017-03-21 |
| 1659765709 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 4700 Gilbert Ave, Ste43a, Western Springs, IL 60558-1753 | 2015-03-26 |
| 1790189454 | Walgreena | Pharmacy | 4700 Gilbert Ave, Western Springs, IL 60558-1753 | 2014-10-09 |
| 1558789792 | Hinsdale Orthopaedic Associates, Sc | Orthopaedic Surgery | 4700 Gilbert Ave, Suite 52, Western Springs, IL 60558-1753 | 2014-04-04 |
| 1639503345 | Carolyn V Kelly | Physical Therapist | 4700 Gilbert Ave, Suite 51, Western Springs, IL 60558-1753 | 2013-08-29 |
| 1144598178 | Robert Andrew Guttman | Pharmacist | 4700 Gilbert Ave, Western Springs, IL 60558-1753 | 2011-12-05 |
| 1194002337 | Tanya A Hryhorczuk | Pharmacist | 4700 Gilbert Ave, #58, Western Springs, IL 60558-1753 | 2011-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280941 | Kenneth J. Szafranski, Dds, Ltd Matthew S. Van Beek, Dds | Dentist | 1100 Hillgrove Ave, Suite 1&2, Western Springs, IL 60558 | 2019-02-06 |
| 1942782313 | Tom Schimel | Counselor | 1023 Burlington Avenue, Western Springs, IL 60558 | 2018-09-03 |
| 1760904692 | Megan Sullivan | Social Worker | 1405 Willow Ave., Western Springs, IL 60558 | 2017-07-12 |
| 1205281763 | Cara Bowton | Student in an Organized Health Care Education/Training Program | 4051 Linden Ave, Western Springs, IL 60558 | 2016-05-03 |
| 1598109803 | Megan Marie Tierney | Student in an Organized Health Care Education/Training Program | 5001 Lawn Ave, Western Springs, IL 60558 | 2013-04-18 |
| 1013275189 | Farouk Fahim Girgis | Specialist | 5731 Grand Avenue, Western Springs, IL 60558 | 2012-04-26 |
| 1346516507 | Dara Kruchko | Occupational Therapist | 3839 Central Ave., Western Springs, IL 60558 | 2012-03-31 |
| 1346540697 | John Vrchota IIi | Pharmacist | #14 Garden Market St, Western Springs, IL 60558 | 2010-11-02 |
| 1447574637 | Ryan Schmaedeke | Physical Therapist | 4700 Gilbert Ave Ste 43a, Western Springs, IL 60558 | 2010-03-17 |
| 1043463664 | Matthew David Peahl | Chiropractor | 1052 Hillgrove Ave., Western Springs, IL 60558 | 2008-10-28 |
| Find all providers in zip 60558 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073011821 | Andrea Marie Rizzo | Nurse Practitioner | 4475 Lawn Ave, Western Springs, IL 60558-1283 | 2018-01-26 |
| 1760913883 | Janis Noone | Nurse Practitioner | 4700 Gilbert Ave, Suite 52, 51, Western Springs, IL 60558-1753 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | WESTERN SPRINGS |
| Zip Code | 60558 |
Please comment or provide details below to improve the information on STEVEN STAKENAS.
| 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.