Individual
DR. RUTGER WOLFGANG STACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8301 S HOLLAND RD, SUITE B, CHICAGO, IL 60620-1303
(773) 488-2444
(773) 996-3167
Mailing address
350 N CLARK ST FL 6, CHICAGO, IL 60654-4712
(312) 274-4520
(312) 803-1869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030808
IL
Other
Enumeration date
06/03/2016
Last updated
07/01/2016
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