DR. DOMINICK J STELLA (NPI# 1932163623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932163623 |
| Entity Type | Individual |
| Full Name | DR. DOMINICK J STELLA |
| Credential | M.D. |
| Practice Address |
13011 S 104th Ave Ste 100 Palos Park IL 60464-1508 |
| Practice Telephone | 7082743278 |
| Practice Fax Number | 7082743299 |
| Mailing Telephone | 7084783600 |
| Mailing Fax Number | 7084783552 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036095778 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036095778 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP | 416810 | 01 |
| IL | BLUECROSS BLUE SHIELD | 01621208 | 01 |
| IL | 036095778 | 05 | |
| IL | MEDICARE GROUP | 236551 | 01 |
| IL | RAILROAD MEDICARE GROUP PTAN NUMBER | CD8033 | 01 |
| IL | RAILROAD MEDICARE COOK | 060069036 | 01 |
| IL | RAILROAD MEDIARE GROUP PTAN NUMBER | CG1672 | 01 |
| IL | MEDICARE GROUP | 236550 | 01 |
| IL | HEART CARE CENTERS OF ILLINOIS GROUP NPI | 1508810086 | 01 |
| IL | RAILROAD MEDICARE KANKAKE | P00311979 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2338 New St, Blue Island, IL 604062402 | 7088241114 | 7088249341 |
| 329 Remington Blvd Ste 225, Bolingbrook, IL 604405822 | 6307544300 | 6307544301 |
| Street Address |
13011 S 104TH AVE STE 100 |
| City | PALOS PARK |
| State | IL |
| Zip Code | 60464-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749455 | John J Arrotti | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-12 |
| 1942844212 | Courtney Lee Montgomery | Nurse Practitioner | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2019-10-30 |
| 1396065884 | Hong Jun Yun | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464 | 2010-06-07 |
| 1831355585 | Gregory Paul Macaluso | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2008-08-01 |
| 1679778716 | Ravi Kumar Ramana | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2007-06-19 |
| 1194789354 | Robert C Prentice | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-14 |
| 1043274145 | Robert A Iaffaldano | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-14 |
| 1932163037 | Thomas T Kason | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-14 |
| 1225092992 | Roy C Bliley | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-12 |
| 1528022191 | Peter W Kakavas | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518456102 | Lisa Kay York | Behavior Technician | 8207 Il-83, Palos Park, IL 60464 | 2018-05-09 |
| 1972000479 | Elizabeth Faye Putman | Physical Therapy Assistant | 10300 Village Cir Dr, Peace Village, Palos Park, IL 60464 | 2018-04-11 |
| 1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
| 1376677625 | Palos C C S D 118 | Local Education Agency (LEA) | 8800 West 119th Street, Palos Park, IL 60464 | 2007-03-16 |
| 1730233297 | Rajitha Lakshmi Avva | Psychiatry & Neurology | Palos Behavioral Health, 13011 S 104th Ave, Palos Park, IL 60464 | 2007-01-22 |
| 1487714671 | Maple Park Dental Care, P.C. | Dentist | 1048 104th Street, #108, Naperville, IL 60464 | 2006-12-11 |
| 1912065418 | David M Kozal | Dentist | 11900 Sw Hwy, Palos Park, IL 60464 | 2006-12-05 |
| 1598845422 | Michele Antoinette Nealon Woods | Psychologist | Palos Behavioral Health Professionals, 103011 S 104th Ave Suite 200, Palos Park, IL 60464 | 2006-10-16 |
| 1679683585 | Linda G Baer | Psychologist | 13011 104th Ave, Suite 200, Palos Park, IL 60464 | 2006-08-30 |
| 1578507430 | Hugh Michael Oneill | Family Medicine | 14741 Ravinia Ave, Orland Park, IL 60464 | 2006-06-15 |
| Find all providers in zip 60464 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508810086 | Heart Care Centers of Illinois, S.c. | Internal Medicine | 13011 S 104th Ave, Suite 100, Palos Park, IL 60464-1506 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164984514 | Cil Care of Il II, LLC | Internal Medicine | 1900 E Golf Rd Ste 950, Schaumburg, IL 60173-5034 | 2019-04-04 |
| 1467950733 | Coordinated Health of Il, LLC | Internal Medicine | 1900 E Golf Rd Ste 950c, Schaumburg, IL 60173-5834 | 2018-01-31 |
| 1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
| 1417373010 | Hashim Gazi | Internal Medicine | 3331 West Deyoung, Suite 100, Marion, IL 62959 | 2014-03-07 |
| 1992041644 | Daniel Brent Nelson | Internal Medicine | 3810 Farhills Dr, Champaign, IL 61822-9321 | 2012-12-28 |
| 1801184767 | Surya Teja Chaturvedula | Internal Medicine | 5409 N Knoxville Ave Ste 207, Peoria, IL 61614-5069 | 2011-07-13 |
| 1841583952 | C Dean Katsamakis Do Facc Sc | Internal Medicine | 240 Waukegan Rd, Glenview, IL 60025-5159 | 2011-05-23 |
| 1154550119 | Elliott M Groves | Internal Medicine | 840 S Wood St Ste Smc715, Chicago, IL 60612-4325 | 2009-07-10 |
| 1841484813 | Elsayed Mohamed | Internal Medicine | 804 E Woodfield Rd Ste 300, Schaumburg, IL 60173-4776 | 2007-08-31 |
| 1952513335 | Muhammad Sikander Akbar | Internal Medicine | 6300 N Lincoln Ave, Chicago, IL 60659-1204 | 2007-05-05 |
| Find all providers with the same taxonomy | ||||
| City | PALOS PARK |
| Zip Code | 60464 |
Please comment or provide details below to improve the information on DR. DOMINICK J STELLA.
| 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.