Individual
DR. STEPHEN LAWRENCE ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MAIL CODE 6080, UNIVERSITY OF CHICAGO, CHICAGO, IL 60637-1447
(773) 834-9748
(773) 702-8875
Mailing address
350 OLSEN CLOSE, EDMONTON, ALBERTA T6R 1-L1
(780) 407-3463
(780) 407-3489
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
36117433
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36117433
STATE LICENSE
IL
Enumeration date
01/19/2007
Last updated
07/08/2007
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