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Individual

MR. CHESTER STARKS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RCIS,RCS

Contact information

Practice address
1149 POLK ST, GARY, IN 46407-3808
(219) 895-9695
Mailing address
1149 POLK ST, GARY, IN 46407-1120
(219) 895-9695

Taxonomy

Speciality
Code
Description
License number
State
246XC2901X
Cardiovascular Invasive Specialist/Technologist
00039743
IN
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
00039743
IN

Other

Enumeration date
11/10/2010
Last updated
09/14/2016
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