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Individual

DR. CHARLES JOSEPH STIAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
4200 N OAK PARK AVE, CHICAGO, IL 60634-1417
(773) 794-4165
Mailing address
4200 N OAK PARK AVE, CHICAGO, IL 60634-1417
(773) 794-4165

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005019
IL

Other

Enumeration date
01/20/2009
Last updated
01/20/2009
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