Individual
STEVEN STANOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1101 MADISON ST, SUITE 200, SEATTLE, WA 98104-1306
(206) 386-2013
(206) 386-2149
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036-100572
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036-100572
IL
208VP0014X
Interventional Pain Medicine Physician
036-100572
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100572
—
IL
01
—
250014002
RAILROAD MEDICARE
IL
01
—
250014003
RAILROAD MEDICARE
IL
Enumeration date
08/03/2006
Last updated
03/19/2021
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