Healthcare Provider Details

I. General information

NPI: 1609998723
Provider Name (Legal Business Name): STEVEN STUART MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ON025 WINFIELD RD.
WINFIELD IL
60190
US

IV. Provider business mailing address

2500 HARBOR BLVD
PORT CHARLOTTE FL
33952-5000
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-1600
  • Fax:
Mailing address:
  • Phone: 941-766-4125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME138949
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036074205
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: