Individual
CHRISTINA STASKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4254
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016005756
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005756
IL
Other
Enumeration date
03/30/2015
Last updated
11/20/2024
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