Individual
DR. JOHN N STAMELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 W LAKE COOK RD, #160, BUFFALO GROVE, IL 60089-2091
(847) 520-8900
Mailing address
600 W LAKE COOK RD, #160, BUFFALO GROVE, IL 60089-2091
(847) 520-8900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036060882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060882
—
IL
01
—
1619562
BC/BS
—
01
—
200016715
MEDICARE RAILROAD
—
Enumeration date
08/31/2006
Last updated
08/12/2010
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