Individual
MARK A. STAUDACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4060
(630) 208-4401
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4060
(630) 208-4401
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036114068
IL
Other
Enumeration date
08/09/2005
Last updated
05/09/2022
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