RICHARD CLARENCE STALZER

CHICAGO, IL
NPI1891915138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  ILL 036039351)
Enumeration Date2007-04-27
Last Update Date2007-07-08
Business Address
-- RICHARD CLARENCE STALZER
30 WEST CHICAGO AVE SUITE 312
CHICAGO, IL 60610-4331
Phone number: 312-926-3964
Mailing Address
-- RICHARD CLARENCE STALZER
86 WEST CANTERBURY LN
NORTHFIELD, IL 60093-3110
Phone number: