Individual
DR. DEBRA BETH STULBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5843 S WESTERN AVE, CHICAGO, IL 60636-1526
(773) 434-8600
Mailing address
5841 S MARYLAND AVE # MC7110, CHICAGO, IL 60637-1447
(773) 834-1356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-112006
IL
Other
Enumeration date
09/24/2006
Last updated
06/27/2013
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