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NPI Code Detail

MEDICARE: NOAM Y. STADLAN MD

MEDICARE: NOAM Y. STADLAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician036091078IL

General Provider Information

NPI Number : 1962478271
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAM Y. STADLAN MD
Provider Business Mailing Address
First Line : 9650 GROSS POINT RD STE 2900
Second Line :
City : SKOKIE
State : IL
Zip : 60076-5006
Country : US
Telephone Number : 847-570-1440
Fax Number : 847-570-1442
Provider Business Practice Location Address
First Line : 9650 GROSS POINT RD STE 2900
Second Line :
City : SKOKIE
State : IL
Zip : 60076-5006
Country : US
Telephone Number : 847-570-1440
Fax Number : 847-570-1442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 02/11/2021

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Directions to “ NOAM Y. STADLAN MD” Practice Location

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