SCOT STANULIS

SPRINGFIELD, IL
NPI1568101228
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X Surgery, Vascular Surgery
(Licence: IL  125.079939)
Enumeration Date2022-06-01
Last Update Date2022-06-01
Business Address
Dr. SCOT STANULIS
701 N 1ST ST # D346
SPRINGFIELD, IL 62702-3757
Phone number: 217-545-8856
Mailing Address
Dr. SCOT STANULIS
PO BOX 19638
SPRINGFIELD, IL 62794-9638
Phone number: 217-545-8856