Individual
MEGAN STULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MC 1052, CHICAGO, IL 60637-1447
(773) 702-6250
Mailing address
5841 S MARYLAND AVE, MC 1052, CHICAGO, IL 60637-1447
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.057849
IL
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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