Individual
DR. HORIA STAMBOLIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
326 W 64TH ST, SUITE 208, CHICAGO, IL 60621-3114
(773) 865-7825
Mailing address
PO BOX 3603, OAK BROOK, IL 60522-3603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036072108
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036072108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072108
—
IL
01
—
13883512
CAQH
IL
01
—
F400334142
MEDICARE
IL
01
—
QXIPQ0000149354
AETNA BETTER HEALTH
IL
Enumeration date
05/26/2006
Last updated
07/10/2023
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