Organization
GEORGE L STANKEVYCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE LANE STANKEVYCH M.D. (PRESIDENT)
(815) 344-1611
Entity
Organization
Contact information
Practice address
4119 W SHAMROCK LN, SUITE 200, MCHENRY, IL 60050-8289
(815) 344-1611
(815) 344-1614
Mailing address
4119 W SHAMROCK LN, SUITE 200, MCHENRY, IL 60050-8289
(815) 344-1611
(815) 344-1614
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5600259
BCBS
IL
Enumeration date
10/24/2006
Last updated
12/20/2021
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