Individual
RODNEY STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2160 S 1ST AVE, (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181), MAYWOOD, IL 60153
(630) 627-7399
(630) 627-7079
Mailing address
2160 S 1ST AVE, (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181), MAYWOOD, IL 60153
(630) 627-7399
(630) 627-7079
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
16003859
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16003859
—
IL
01
—
L98023
MEDICARE
IL
Enumeration date
02/14/2006
Last updated
05/12/2021
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