MARK A STEFANIUK M.D. NPI 1013932409

NPI Information

  • NPI: 1013932409
  • Provider Name: MARK A STEFANIUK, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3633 W LAKE AVE STE 108
    GLENVIEW, IL
    ZIP 60026
  • Phone: (847) 510-2805

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NPI Details

Mark A Stefaniuk, M.D. is a family medicine in Glenview, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mark A Stefaniuk, M.D. NPI is 1013932409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3633 W LAKE AVE STE 108
GLENVIEW, IL
ZIP 60026-801
Phone: (847) 510-2805
Fax: (847) 510-2806

The NPI 1013932409 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 7/13/2006 and was last updated on 11/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine89349 (ID#)NORTH CAROLINANo
2207P00000XEmergency Medicine036-109698ILLINOISNo
3207Q00000XFamily Medicine036109698ILLINOISNo
4207Q00000XFamily Medicine036-109698ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036109698-4MEDICAIDILLINOIS
2036109698MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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