JOANNA STANKIEWICZ MD SC NPI 1407275399

NPI Information

  • NPI: 1407275399
  • Provider Name: JOANNA STANKIEWICZ MD SC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3800 N CENTRAL AVE
    CHICAGO, IL
    ZIP 60634
  • Phone: (773) 205-8415

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NPI Details

JOANNA STANKIEWICZ MD SC is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JOANNA STANKIEWICZ MD SC NPI is 1407275399. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3800 N CENTRAL AVE
CHICAGO, IL
ZIP 60634-718
Phone: (773) 205-8415
Fax: (773) 205-8436

The provider's authorized official is Joanna Stankiewicz .
The authorized official title is President/physician and has the following contact phone number (773) 205-8415.

The enumeration date for this NPI number is 4/8/2014 and was last updated on 4/8/2014.

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
1174400000XSpecialist042.620274ILLINOISYes

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
1036-102753MEDICAIDILLINOIS
2H16120MEDICARE UPINILLINOIS

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: 11/21/2025

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