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Individual

JASON STOKLOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 538-4934
Mailing address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(718) 780-3000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036161161
IL
207L00000X
Anesthesiology Physician
305508
NY

Other

Enumeration date
05/02/2016
Last updated
05/04/2026
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