Individual
LAETITIA STAMBOLIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(847) 437-5500
(847) 981-2030
Mailing address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(847) 437-5500
(847) 981-2030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036075825
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036075825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075825
—
IL
Enumeration date
02/05/2007
Last updated
03/20/2023
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