Individual
DR. KELLY J. STANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2155 CITY GATE LN STE 225, NAPERVILLE, IL 60563-7770
(630) 547-5040
Mailing address
1526 UTE BLVD, STE 104, PARK CITY, UT 84098-7575
(317) 445-3555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036128182
IL
Other
Enumeration date
05/02/2007
Last updated
07/07/2017
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