Individual
DR. CHRISTIANE ELLEN STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 S WOOD ST, DEPT OF PEDIATRICS, M/C 857, CHICAGO, IL 60612-4325
(312) 413-4957
Mailing address
914 W FLETCHER ST, CHICAGO, IL 60657-4499
(773) 935-8160
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
IL
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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