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.

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Practice location Address checks out

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 203-9600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

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
Mailing address4440 W 95th St, Oak Lawn, IL 60453-2600

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