Individual
MADELINE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-8060
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-8060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125069420
IL
Other
Enumeration date
02/16/2015
Last updated
07/20/2020
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