STANFORD TACK

LIBERTYVILLE, IL
NPI1558314013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IL  036-075136)
Enumeration Date2006-05-18
Last Update Date2012-08-28
Business Address
-- STANFORD TACK MD
720 FLORSHEIM DR
LIBERTYVILLE, IL 60048-3757
Phone number: 847-247-4000
Mailing Address
-- STANFORD TACK MD
900 RAND RD STE 300 ATTN: RAQUEL LEON
DES PLAINES, IL 60016-2359
Phone number: 847-324-3976
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