Individual
THOMAS W. STACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 LAKE HINSDALE DR. #410, WILLOWBROOK, IL 60527-2266
(630) 230-0955
Mailing address
701 LAKE HINSDALE DR. #410, WILLOWBROOK, IL 60527-2266
(630) 230-0955
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.036069
IL
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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