Individual
RICHARD D STAGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1713 CENTRAL ST, EVANSTON, IL 60201
(847) 869-1499
(847) 869-2932
Mailing address
1713 CENTRAL ST, EVANSTON, IL 60201
(847) 869-1499
(847) 869-2932
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036066559
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066559
—
IL
Enumeration date
03/03/2006
Last updated
10/06/2020
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