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Individual
STANLEY SWAT
Active
Individual
STANLEY SWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125067185
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036159733
IL
207RC0000X
Cardiovascular Disease Physician
036159733
IL
207RC0000X
Cardiovascular Disease Physician
125067185
IL
Other
Enumeration date
04/08/2015
Last updated
06/09/2026
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