John J Stavrakos (NPI# 1215966684, PAC ID# 5294929808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1215966684 |
| PAC ID by PECOS | 5294929808 |
| Professional Enrollment ID | I20101027001341 |
| Full Name | John J Stavrakos |
| Organization Legal Name | DEERFIELD MEDICAL ASSOCIATES SC |
| Address |
720 Osterman Ave Suite 103 Deerfield IL 60015-4339 |
| Phone Number | 8479453030 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4880887272 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 720 Osterman Ave, Suite 103, Deerfield, IL 60015-4339 | 8479453030 | DEERFIELD MEDICAL ASSOCIATES SC |
| Organization Legal Name | DEERFIELD MEDICAL ASSOCIATES SC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Amesbury | Internal Medicine | Deerfield Medical Associates Sc | 720 Osterman Ave, Suite 103, Deerfield, IL 60015-4339 |
| Street Address |
720 OSTERMAN AVE SUITE 103 |
| City | DEERFIELD |
| State | IL |
| Zip | 60015-4339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine S Metres | Psychologist, Clinical | 720 Osterman Ave, Suite 203, Deerfield, IL 60015-4339 | |
| Andrea S Morse | Psychologist, Clinical | 720 Osterman Ave, Suite 303, Deerfield, IL 60015-4339 | |
| Victoria Amesbury | Internal Medicine | Deerfield Medical Associates Sc | 720 Osterman Ave, Suite 103, Deerfield, IL 60015-4339 |
| Carol Cislak | Obstetrics/gynecology | Midwest Center for Women's Healthcare, Ltd | 720 Osterman Ave, Suite 205, Deerfield, IL 60015-4339 |
| Sheri L Schreiber | Obstetrics/gynecology | Midwest Center for Women's Healthcare, Ltd | 720 Osterman Ave, Suite 205, Deerfield, IL 60015-4339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha O Schulze | Psychologist, Clinical | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Angela M Fadragas | Clinical Social Worker | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Brad K Greenspan | Psychiatry | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Linda L Hines | Psychologist, Clinical | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Halle M Aten | Psychologist, Clinical | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Paula T Dicanio | Psychologist, Clinical | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Joseph A Kanengiser | Clinical Social Worker | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Caroline M Degroot | Physical Therapy | Athletico Ltd | 2211 Waukegan Rd, Bannockburn, IL 60015-1570 |
| William F Love | Physical Therapy | Athletico Ltd | 2211 Waukegan Rd, Bannockburn, IL 60015-1570 |
| Laura A Calgaro | Physical Therapy | Athletico Ltd | 2211 Waukegan Rd, Bannockburn, IL 60015-1570 |
| Find all physicians in zip 60015 | |||
| City | DEERFIELD |
| Zip Code | 60015 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DEERFIELD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on John J Stavrakos.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.