Individual
DR. DAVID EUGENE STIASNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5215 N CALIFORNIA AVE STE 601, CHICAGO, IL 60625-8564
(773) 878-3627
(773) 989-1669
Mailing address
5215 N CALIFORNIA AVE STE 601, CHICAGO, IL 60625-8564
(773) 878-3627
(773) 989-1669
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036132909
IL
208000000X
Pediatrics Physician
4301090550
MI
Other
Enumeration date
11/14/2007
Last updated
10/30/2020
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