DR. STEPHEN C DOUGHTY (NPI# 1255327631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255327631 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN C DOUGHTY |
| Credential | MD |
| Practice Address |
1120 E War Memorial Dr Peoria Heights IL 61616-7757 |
| Mailing Address |
901 Mcclintock Dr Suite 202 Burr Ridge IL 60527-0872 |
| Practice Telephone | 8882206432 |
| Practice Fax Number | 6306544253 |
| Mailing Telephone | 8882206432 |
| Mailing Fax Number | 6306544253 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036-055284 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-055-284 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649473778 | Stephen J Doughty | Naturopath | 1500 S Cholla, Toquerville, UT 84774-5064 | 2007-06-06 |
| Street Address |
1120 E WAR MEMORIAL DR |
| City | PEORIA HEIGHTS |
| State | IL |
| Zip Code | 61616-7757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629466743 | Lisa Friebohle | Nurse Practitioner | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2014-12-23 |
| 1659790350 | Kevin Spangler | Nurse Practitioner | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2014-04-09 |
| 1518058619 | James D Ausfahl | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1700977667 | Ioan Mosoiu | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1932290780 | Josef Unhold | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1710078563 | Ronald Sumner | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1851482731 | Donald Habecker | Internal Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1033200928 | Jumuna Patel | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1427149210 | Eldon Samuel | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1114026754 | Mark Montefolka | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558748350 | Jennifer Lynn Kroll | Pediatrics | 1317 E Kelly Ave, Peoria Heights, IL 61616 | 2015-04-30 |
| 1649583485 | Aline Azar | Internal Medicine | 1120 E War Memorial Drive, Peoria Heights, IL 61616 | 2010-07-22 |
| 1417137217 | Reza Vakili | Dentist | 4450 N. Prospect Rd, Suite S5, Peoria Heights, IL 61616 | 2007-11-08 |
| 1588700348 | Sandra Kay Chatwood | Counselor | 3709 N Atlantic Ave, Peoria Heights, IL 61616 | 2007-01-29 |
| 1578619524 | Donald B Braunagel | Dentist | 924b F Glen Ave, Peoria Heights, IL 61616 | 2007-01-25 |
| 1417009481 | Jeffrey Scott Whitson | Dentist | 924 E Glen Ave, #b, Peoria Heights, IL 61616 | 2007-01-18 |
| 1003986019 | Sharshon Pharmacy. Inc. | Pharmacy | 4600 N. Prospect Rd., Suite 2, Peoria Heights, IL 61616 | 2006-11-08 |
| 1467683334 | Unlimited Advacare Systems, Inc | Durable Medical Equipment & Medical Supplies | 819 E London Ave, Peoria, IL 61616-1360 | 2009-07-27 |
| 1083759476 | Rose Garden Care Center Inc. | Skilled Nursing Facility | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2007-02-21 |
| 1699317594 | Aperion Care Peoria Heights LLC | Durable Medical Equipment & Medical Supplies | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2019-10-11 |
| Find all providers in zip 61616 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649583485 | Aline Azar | Internal Medicine | 1120 E War Memorial Drive, Peoria Heights, IL 61616 | 2010-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775038 | Aids Healthcare Foundation | Internal Medicine | 2600 S Michigan Ave # Ll-d, Chicago, IL 60616-2857 | 2020-06-19 |
| 1972152874 | Amanda M Zimmermann | Internal Medicine | 1870 W Winchester Rd Ste 247, Libertyville, IL 60048-5360 | 2019-09-04 |
| 1992213896 | Jennifer Marie Bassler | Internal Medicine | 7804 W College Dr Ste 1n, Palos Heights, IL 60463-1499 | 2018-01-14 |
| 1699201582 | Id Associates Limited | Internal Medicine | 5 Hunt Club Ln, Oak Brook, IL 60523-2328 | 2017-05-11 |
| 1053773044 | Seshank Arimilli | Internal Medicine | 2160 S 1st Ave Bldg 1027609, Maywood, IL 60153-3328 | 2016-03-28 |
| 1265859607 | Alessandra Anna Secco | Internal Medicine | 7900 N Milwaukee Ave Ste 231a, Niles, IL 60714-3247 | 2014-03-24 |
| 1275962672 | Saira Rashida Ajmal | Internal Medicine | 4440 W 95th St Ste 301, Oak Lawn, IL 60453 | 2013-11-06 |
| 1942542519 | Andrew Blatt Thompson | Internal Medicine | 901 Mcclintock Dr Ste 201, Burr Ridge, IL 60527 | 2013-03-21 |
| 1013259779 | Allan Joseph Weinstein | Internal Medicine | 65 E Goethe St, Chicago, IL 60610-2628 | 2013-03-20 |
| 1871832428 | Harvey Kantor | Internal Medicine | 313 Whitmore Ln, Lake Forest, IL 60045-4707 | 2013-02-01 |
| Find all providers with the same taxonomy | ||||
| City | PEORIA HEIGHTS |
| Zip Code | 61616 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.