AUDREY STILLERMAN MD
NPI 1013029644
Family Medicine in Chicago, IL

Active since August 31, 2006
1628 W WASHINGTON BLVD, CHICAGO, IL 60612(312) 226-3288 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Audrey Stillerman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY STILLERMAN MD (NPI 1013029644) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036077628) and active in the NPI registry since August 2006. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1013029644
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAUDREY STILLERMANCredential: MD
Location Address1628 W WASHINGTON BLVDChicago, IL 60612-2613
Mailing Address1747 W Roosevelt Rd, M/c 275Chicago, IL 60608-1264 · (312) 996-4656 · Fax (312) 996-3848
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 2, 2020
NPI 1013029644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036077628
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1628 W WASHINGTON BLVD, Chicago, IL 60612

Secondary Practice Location 1

Location 13030 N Mobile AveChicago, IL 60634-4041 · Phone (773) 662-5679 · Fax (773) 622-5814

Other Identifiers 1

Medicaid1972588242IL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1628 W WASHINGTON BLVD
CHICAGO, IL 60612
Case Management
1628 W WASHINGTON BLVD
CHICAGO, IL 60612
Physical Therapist
1628 W WASHINGTON BLVD
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Stillerman's NPI number?

The NPI number for Audrey Stillerman is 1013029644. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Audrey Stillerman located?

Audrey Stillerman practices at 1628 W Washington Blvd, Chicago, IL 60612. The listed phone number is (312) 226-3288.

What is Audrey Stillerman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Audrey Stillerman was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.