Individual
DR. DUANE DAVID STICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 DEMPSTER ST, DEPT. OF NEONATOLOGY 2 SOUTH, PARK RIDGE, IL 60068-1143
(847) 723-5313
(847) 723-2338
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 723-2338
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-106562
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
48209-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-106562
—
IL
05
—
34658700
—
WI
Enumeration date
08/17/2006
Last updated
05/05/2022
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