Individual
STEPHEN L CO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAGUIRE CENTER, RM. 3307, MAYWOOD, IL 60153
(708) 216-4403
(708) 216-3375
Mailing address
2160 S 1ST AVE, MAGUIRE CENTER, RM. 3307, MAYWOOD, IL 60153
(708) 216-4403
(708) 216-3375
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
36076168
IL
Other
Enumeration date
02/14/2006
Last updated
09/02/2009
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