DR. STEPHANIE M WELLER (NPI# 1891886164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891886164 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE M WELLER |
| Credential | M.D. |
| Practice Address |
320 Lake St Oak Park IL 60302-2612 |
| Practice Telephone | 7088480528 |
| Practice Fax Number | 7088480160 |
| Mailing Telephone | 7088480528 |
| Mailing Fax Number | 7088480160 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036129096 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036129096 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124159595 | Stephanie Lee Weller | Case Manager/Care Coordinator | 1563 N Main St, Suite 208, Fall River, MA 02720 | 2007-03-08 |
| Street Address |
320 LAKE ST |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619403458 | Samantha Claire Cordell | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2017-05-11 |
| 1497190532 | Darla Kim Dewolff | Nurse Practitioner | 320 Lake St, Oak Park, IL 60302-2612 | 2013-05-02 |
| 1265705990 | Family Service and Mental Health Center of Cicero | Voluntary or Charitable | 320 Lake St, Oak Park, IL 60302-2612 | 2012-02-10 |
| 1083746606 | Wanda Laszcz | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2007-03-09 |
| 1134258916 | Oak Park River Forest Infant Welfare Society | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2007-03-05 |
| 1104953827 | Fauzia Khan-alsikafi | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2007-02-28 |
| 1518013432 | Elizabeth Ann Samore | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2007-01-25 |
| 1659424018 | Jill Hoffmeyer Baskin | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215494463 | First Peek Ultrasound | Pediatrics | 7121a North Ave, Oak Park, IL 60302-1002 | 2019-02-25 |
| 1225564271 | Summit Total Care Pllc | Pediatrics | 23350 Greenfield Rd Ste 200, Oak Park, MI 48237-2496 | 2017-05-11 |
| 1194809558 | Andrew M Matthew | Pediatrics | 358 Kanan Rd, Oak Park, CA 91377-1111 | 2006-10-24 |
| 1003900556 | Erin Michelle Taback | Pediatrics | 1107 Chicago Ave, Oak Park, IL 60302-1803 | 2006-10-02 |
| 1417063041 | Jeffrey A. Cabotaje | Pediatrics | 6853 North Ave, Oak Park, IL 60302-1023 | 2006-08-23 |
| 1053387571 | Karen Marie Walker | Pediatrics | 6300 Roosevelt Rd, Oak Park, IL 60304-2303 | 2006-02-24 |
| 1861466856 | Rebecca Turk | Pediatrics | 260 Chicago Ave, Oak Park, IL 60302-2361 | 2006-02-15 |
| 1508132507 | Elizabeth Marie Wollensak | Pediatrics | 6853 North Ave, Oak Park, IL 60302-1023 | 2012-03-24 |
| 1417256652 | Abigail Lynn Hodges | Pediatrics | 1107 Chicago Ave, Oak Park, IL 60302-1803 | 2011-03-25 |
| 1033421805 | Karen Tenenblatt | Pediatrics | 358 Kanan Rd, Oak Park, CA 91377 | 2010-07-09 |
| Find all providers in OAK PARK | ||||
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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.