Individual
MARK A STEFANIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3633 W LAKE AVE STE 108, GLENVIEW, IL 60026-5801
(847) 510-2805
(847) 510-2806
Mailing address
3633 W LAKE AVE STE 108, GLENVIEW, IL 60026-5801
(847) 510-2805
(847) 105-2806
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-109698
IL
207P00000X
Emergency Medicine Physician
89349 (ID#)
NC
207Q00000X
Family Medicine Physician
Primary
036-109698
IL
207Q00000X
Family Medicine Physician
036109698
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109698
—
IL
05
—
036109698-4
—
IL
Enumeration date
07/13/2006
Last updated
11/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us