Organization
S A MASLANKA JR MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANISLAW ALBERT MASLANKA JR. M.D. (PRESIDENT)
(773) 631-9520
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, CHICAGO, IL 60631-3745
(773) 631-9520
(773) 631-9532
Mailing address
7447 W TALCOTT AVE, SUITE 148, CHICAGO, IL 60631-3745
(773) 631-9520
(773) 631-9532
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036071835
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351504122
—
IL
Enumeration date
04/02/2008
Last updated
07/07/2008
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