Individual
DR. JUSTYNA BANCEREK-STENGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1206 E 9TH ST, STE 210, LOCKPORT, IL 60441-2404
(815) 834-8777
Mailing address
1206 E 9TH ST, STE 210, LOCKPORT, IL 60441-2404
(815) 834-8777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036108278
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108278
—
IL
Enumeration date
05/24/2006
Last updated
11/23/2011
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