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Organization

STOKES INSTITUTE OF UROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAM STOKES III MD (OWNER)
(618) 351-9300
Entity
Organization

Contact information

Practice address
1900 STATE ST, CHESTER, IL 62233-1116
(618) 826-4581
(618) 826-2899
Mailing address
305 W JACKSON ST, SUITE 102, CARBONDALE, IL 62901-1474

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
07/19/2007
Last updated
01/26/2008
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