Individual
STEPHEN SANOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 BUTTERFIELD RD, SUITE 100, DOWNERS GROVE, IL 60515-1050
(630) 322-9126
(630) 995-7965
Mailing address
2001 BUTTERFIELD RD, SUITE 100, DOWNERS GROVE, IL 60515-1050
(630) 322-9126
(630) 995-7965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35063661
OH
202K00000X
Phlebology Physician
Primary
036114542
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894680
—
OH
Enumeration date
06/15/2005
Last updated
10/31/2018
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