Individual ProviderStephen WhitfieldFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1010 Lake St Ste 301, Oak Park, IL 60301-1133(708) 524-8600PECOS EnrollmentBased on the most recent information from CMS, provider Stephen Whitfield is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1942691613Provider TypeIndividualFull NameWhitfield, StephenCredentialMDGenderMaleSole ProprietorNoEnumeration Date2/16/2015Last Updated3/24/2024Contact InformationPractice LocationPractice Address1010 Lake St Ste 301, Oak Park, IL 60301-1133Phone(708) 524-8600FaxUnlisted FaxMailing LocationMailing Address1010 Lake St Ste 301, Oak Park, IL 60301-1133Phone(708) 524-8600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036.160421Illinois