Provider Demographics
NPI:1568459774
Name:NABRINSKY, STANLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:
Last Name:NABRINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25070 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-2150
Mailing Address - Country:US
Mailing Address - Phone:847-585-7000
Mailing Address - Fax:247-240-0622
Practice Address - Street 1:1710 N RANDALL RD
Practice Address - Street 2:STE 300
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-9400
Practice Address - Country:US
Practice Address - Phone:847-931-0909
Practice Address - Fax:847-931-0939
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036089310207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036089310Medicaid
ILF400120001Medicare PIN
IL036089310Medicaid
ILF400120003Medicare PIN
ILL78385Medicare ID - Type UnspecifiedCOOK DR N