Individual
DR. WILLIAM H STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1073
Mailing address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1073
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66621-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2015
Last updated
10/09/2019
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