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Individual

DR. ALBERT HENRY STIPES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 SWARTHMORE CT, WOODSTOCK, IL 60098-7879
(815) 206-0496
(815) 206-0431
Mailing address
210 SWARTHMORE CT, WOODSTOCK, IL 60098-7879
(815) 206-0496
(815) 206-0431

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
036042922
IL
2084P0800X
Psychiatry Physician
036042922
IL

Other

Enumeration date
09/13/2010
Last updated
09/13/2010
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