Individual
NICHOLAS STANLEY STAMAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7550 W COLLEGE DR, SUITE B, PALOS HEIGHTS, IL 60463-1026
(708) 923-6262
(708) 923-6868
Mailing address
7550 W COLLEGE DR, SUITE B, PALOS HEIGHTS, IL 60463-1026
(708) 923-6262
(708) 923-6868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-069672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069672
—
IL
Enumeration date
08/03/2006
Last updated
04/21/2016
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