Individual
JAN STAMPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 ELLA AVE, JOLIET, IL 60433-2799
(815) 727-8521
Mailing address
1495 W FLINT LN, ROMEOVILLE, IL 60446-5240
(815) 254-0915
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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