Organization
WINCHESTER ENDOSCOPY CENTER
Active
Organization
WINCHESTER ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN MICHAEL STICKAN MBA (OFFICE ADMINISTRATOR)
(847) 247-0187
Entity
Organization
Contact information
Practice address
1880 W WINCHESTER RD, SUITE 201, LIBERTYVILLE, IL 60048-5341
(847) 247-0187
(847) 247-0487
Mailing address
1880 W WINCHESTER RD, SUITE 201, LIBERTYVILLE, IL 60048-5341
(847) 247-0187
(847) 247-0487
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
09/10/2007
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