Individual
DR. GEORGE LANE STANKEVYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4119 W SHAMROCK LN, SUITE 200, MCHENRY, IL 60050-8289
(815) 344-1611
(815) 344-1614
Mailing address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(815) 356-2323
(847) 802-7201
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-060937
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-060937
STATE LICENSE
IL
Enumeration date
08/02/2005
Last updated
03/01/2022
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