Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Thaddeus Stanek, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811379092

Dr. Michael Thaddeus Stanek, MD is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Works from 2 locations. Licensed in Illinois and Indiana.

Licensed in
IL, IN
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fort Wayne, IN

Additional practice locations (1)

  • 4440 W 95th St, Oak Lawn, IL 60453-2600 — (708) 684-5375

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01080472A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125.066376 (IL)

Record details

NPI number1811379092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2015
Last updated in NPPESJuly 5, 2018

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