Provider Demographics
NPI:1053416123
Name:STEC, PATRICIA C (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:C
Last Name:STEC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 MAPLE ROW
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-1035
Mailing Address - Country:US
Mailing Address - Phone:847-446-8341
Mailing Address - Fax:
Practice Address - Street 1:250 MAPLE ROW
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-1035
Practice Address - Country:US
Practice Address - Phone:847-446-8341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-067406208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0021648920OtherEXISTING BCBS PROVIDER #
4028503OtherAETNA
12-00920OtherUNITED HEALTH CARE
IL036067406Medicaid