Myron B Stachniw, MD
Myron B Stachniw, MD is a Sports Medicine (Family Medicine) Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
6000 N Allen RdPeoria, IL 61614-3294
Phone: (309) 691-1400
Fax: (309) 693-3197
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 036049846 (IL) |
|---|---|
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X · Licence 036049846 (IL) |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 36049846 (IL) |
Record details
| NPI number | 1114911377 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 2, 2005 |
| Last updated in NPPES | August 1, 2022 |
| Certification date | June 20, 2022 |
Medicare patients and services, 2024
| Medicare patients | 59 |
|---|---|
| Services billed | 144 |
| Average patient age | 76 |
Other providers in Peoria
-
Joseph & Hishon Integrated Health Center Ltd
5001 N University St Ste A, Peoria, IL 61614-4799 · (309) 693-2225
-
Brad Roberts, DO
6000 N Allen Rd, Peoria, IL 61614-3294 · (309) 691-1400
-
Luke James Schaffer, DO
7800 N Sommer St Ste 608, Peoria, IL 61615-1968 · (309) 676-5546