Individual
DR. STEFAN PARKER CZESTOCHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
2001 S CALIFORNIA AVE, CHICAGO, IL 60608-2486
(773) 584-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036149141
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/23/2016
Last updated
09/29/2020
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