Individual
DR. DOUGLAS A STOLTZFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 W PRATT BLVD, APT 3E, CHICAGO, IL 60626-4453
(773) 764-4967
(773) 764-4967
Mailing address
PO BOX 267836, CHICAGO, IL 60626-7836
(773) 832-1081
(773) 832-1082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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