Individual
DR. GARY D STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4301 W 95TH STREET, OAK LAWN, IL 60453-2670
(708) 425-5500
(708) 425-0771
Mailing address
4301 W 95TH STREET, OAK LAWN, IL 60453-2670
(708) 425-5500
(708) 425-0771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036068905
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068905
—
IL
Enumeration date
07/10/2006
Last updated
01/20/2011
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