Individual
JAMES ADAM STANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, (MAGUIRE CENTER, RM. 1870), MAYWOOD, IL 60153-3328
(708) 216-9183
(708) 216-4834
Mailing address
2160 S 1ST AVE, (MAGUIRE CENTER, RM. 1870), MAYWOOD, IL 60153-3328
(708) 216-9183
(708) 216-4834
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36051483
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36051483
—
IL
Enumeration date
12/30/2005
Last updated
05/04/2021
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