NICHOLAS G STISO MD
NPI 1114928835
Internal Medicine in La Grange Park,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 3, 2005

Contact Information

Po Box 1152
La Grange Park,
Post Code: 60526
Phone: (708) 352-1202
Fax: (708) 352-7311

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Nicholas G Stiso Md in La Grange Park - Internal Medicine

Nicholas G Stiso Md is a Internal Medicine in La Grange Park, . Nicholas G Stiso Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Nicholas G Stiso Md is 1114928835. The last update date is 2016-03-10.

Nicholas G Stiso Md's current location address is Po Box 1152, La Grange Park, . You can contact this provider via phone number (708) 352-1202 and fax number (708) 352-7311. The mailing address for Nicholas G Stiso Md is Po Box 1152, La Grange Park, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114928835
Provider Name
NICHOLAS G STISO MD
Gender
Male
Entity Type
Individual
Location Address
Po Box 1152, La Grange Park,
Location Phone
(708) 352-1202
Location Fax
(708) 352-7311
Mailing Address
47 W Polk St, Chicago, Illinois(IL)
Mailing Phone
312-922-3409
Mailing Fax
312-583-1712
Enumeration Date
2005-08-03
Last Update Date
2016-03-10
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
036-072335
License State
Illinois (IL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207R00000X Internal Medicine Physician

Internal Medicine

4301049152 (Michigan)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110084980 Other (non-Medicare) (01) Illinois (IL) Railroad Medicare
31604458 Other (non-Medicare) (01) Illinois (IL) Blue Cross Blue Shield
36072335 MEDICAID (05) Illinois (IL)
950150135 Other (non-Medicare) (01) Illinois (IL) Medicare PTAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114928835
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241821686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21241821686
2 + 1 + 2 + 4 + 1 + 8 + 2 + 1 + 6 + 8 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5 5

The NPI number 1114928835 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
SPRINGFIELD, Illinois (IL)
217-528-7541
1114920311 GREGORY ALLEN THOMPSON
Individual
Internal Medicine, Infectious Disease 33 W MONROE ST
CHICAGO, Illinois (IL)
312-894-5784
1083617070 NANCY ELLEN KLEIN
Individual
Dentist, General Practice 711 ORCHARD ST STE 1
DEERFIELD, Illinois (IL)
847-254-6244