Individual
DR. ADAM STIVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 N FRANKLIN ST STE 401, CHICAGO, IL 60654-7212
(856) 288-9612
Mailing address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3300
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2084P0800X
Psychiatry Physician
25MA10502700
NJ
2084P0800X
Psychiatry Physician
A197909
CA
2084P0800X
Psychiatry Physician
Primary
MD-20270
HI
2084P0800X
Psychiatry Physician
ME142842
FL
2084P0800X
Psychiatry Physician
MED-PHYS-LIC-79647
MT
Other
Enumeration date
11/01/2011
Last updated
03/12/2025
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