Organization
JOANNA STANKIEWICZ MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA STANKIEWICZ M.D. (PRESIDENT/PHYSICIAN)
(773) 205-8415
Entity
Organization
Contact information
Practice address
3800 N CENTRAL AVE, CHICAGO, IL 60634-2718
(773) 205-8415
(773) 205-8436
Mailing address
3800 N CENTRAL AVE, CHICAGO, IL 60634-2718
(773) 205-8415
(773) 205-8436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042.620274
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-102753
—
IL
Enumeration date
04/08/2014
Last updated
04/08/2014
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