MEDICARE: DR. JOANNA STANKIEWICZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036102753	IL
2	207RH0003X	Hematology & Oncology Physician	036102753	IL

General Provider Information

NPI Number	:	1043258254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNA STANKIEWICZ M.D.

Provider Business Mailing Address
First Line	:	4262 W HARRINGTON LN
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-6038
Country	:	US
Telephone Number	:	773-296-5397
Fax Number	:	773-296-7731

Provider Business Practice Location Address
First Line	:	3800 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-2718
Country	:	US
Telephone Number	:	773-205-8415
Fax Number	:	773-205-8436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	02/06/2026

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