Individual
MARCIE L STOSHAK-CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
836 W WELLINGTON AVE, DEPARTMENT OF EMERGENCY MEDICINE, AIMMC, CHICAGO, IL 60657-5147
(773) 296-7054
(773) 296-7818
Mailing address
124 WESLEY AVE, OAK PARK, IL 60302-2908
(708) 660-0885
(708) 660-0234
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-076424
IL
Other
Enumeration date
07/03/2006
Last updated
02/07/2014
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