NATHAN JOSEPH STACKHOUSE

CHICAGO, IL
NPI1487097838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036140205)
Enumeration Date2013-04-15
Last Update Date2017-11-01
Business Address
Dr. NATHAN JOSEPH STACKHOUSE M.D.
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
Mailing Address
Dr. NATHAN JOSEPH STACKHOUSE M.D.
1919 W TAYLOR ST
CHICAGO, IL 60612-7246
Phone number: 312-355-1706
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