NICHOLAS G STISO (MD) – Internal Medicine Physician, NPI 1114928835

NICHOLAS G STISO (MD) is a healthcare provider. based in Chicago, Illinois. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 036-072335 (IL). The NPI Number for NICHOLAS G STISO (MD) is 1114928835

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS G STISO (MD)
NPI
1114928835
Phone
(312) 922-3409
Address
47 W POLK ST
Enumeration Date
3 August 2005
Last Update Date
10 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3125672000
Graduation Year
1983 (43 years ago)
PAC ID
6305845892
Group Practice PAC ID
7618861105
Professional Enrollment ID
I20061211000433
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for NICHOLAS G STISO (MD)

  • Dearborn Station, 47, West Polk Street, Printer's Row, Loop, South Loop, Chicago, Cook County, Illinois, 60605, United States

    SUITE G

    CHICAGO, IL 606052000

    Phone: (312) 922-3409

    Fax: (312) 583-1712

    Type: Location

  • PO BOX 1152

    LA GRANGE PARK, IL 605269252

    Phone: (708) 352-1202

    Fax: (708) 352-7311

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618861105View full group profile
NameSpecialtyState
MRS. YANG XUE (CNM)
-IL
MR. ROBERT J GALLIGAN (PSY.D.)
-IL
DR. ADEEB ZAER (M.D.)
-IL
ALAN JACKSON (MD)
Cardiovascular Disease (Cardiology), Internal MedicineIL
SAMUEL GOLDEN (MD)
-IL
LANA AKKARI (M.D.)
Internal MedicineIL
VINNY P. KUMAR (M.D.)
-OH
VALESIA MARIE PHILLIPS (MD)
-IL
Unknown Individual
-IL
DR. JAY M BROOKER (MD)
Orthopedic SurgeryIL

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Frequently asked questions

What is the standard ID for NICHOLAS G STISO (MD) in the U.S.?
In the U.S., NICHOLAS G STISO (MD) is identified by NPI 1114928835.
Quick check: is NICHOLAS G STISO (MD) active?
Public NPPES data shows NICHOLAS G STISO (MD) with an active NPI status right now.
What services align with NICHOLAS G STISO (MD)'s listing?
NICHOLAS G STISO (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to NICHOLAS G STISO (MD)?
NICHOLAS G STISO (MD) shows a connection to Chicago, Illinois in registry-derived data.
Why is information missing for NICHOLAS G STISO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.