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General NPI Number Information
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NPI Number | 1104880376
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Entity Type | Individual
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Provider Name | JOSEPH F STELLA D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 10260 191ST ST STE 102
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City | MOKENA
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State | IL
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Zip | 60448-8802
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Country | US
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Telephone | 708-478-4224
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Fax | 708-478-4033
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Provider Business Mailing Address
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Address Line | 13011 S 104TH AVE STE 100
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City | PALOS PARK
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State | IL
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Zip | 60464-1508
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Country | US
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Telephone | 708-478-3600
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Fax | 708-478-3552
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036081607
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 036081607
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License Number State | IL
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