Individual
PATRICK STAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
259 E ERIE ST STE 13-205, CHICAGO, IL 60611-2987
(312) 695-8143
(312) 695-4075
Mailing address
1 WESTBROOK CORPORATE CTR, STE 240, WESTCHESTER, IL 60154-5745
(219) 769-8340
(219) 769-8341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006604
IL
363A00000X
Physician Assistant
10002143A
IN
Other
Enumeration date
10/25/2016
Last updated
01/30/2019
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