Individual
JOSEPH STAFFETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 W HARRISON ST, CHICAGO, IL 60612-3841
(312) 942-4500
Mailing address
1725 W HARRISON ST, CHICAGO, IL 60612-3841
(312) 942-4500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036170795
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2020
Last updated
07/01/2024
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