Organization
RONALD H STEFANI JR MD FACS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD H STEFANI JR. M.D. (OWNER/PHYSICIAN)
(630) 495-1000
Entity
Organization
Contact information
Practice address
629 S MAIN ST, LOMBARD, IL 60148-3341
(630) 495-1000
(630) 495-8545
Mailing address
629 S MAIN ST, LOMBARD, IL 60148-3341
(630) 495-1000
(630) 495-8545
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036-071336
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-071336
IL LICENSE NUMBER
IL
Enumeration date
01/15/2010
Last updated
01/15/2010
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