Individual
DR. JANICE CHYI JU-HUA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 690-4993
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 690-4993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-055756
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036129696
IL
207RP1001X
Pulmonary Disease Physician
Primary
036129696
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129696
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400224384
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
05/19/2009
Last updated
09/15/2015
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