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NPI Code Detail

MEDICARE: CATHERINE MAYA STACHNIK D.O.

MEDICARE:   CATHERINE MAYA STACHNIK  D.O.
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
12084N0400XNeurology Physician125.059692IL

General Provider Information

NPI Number : 1740572247
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE MAYA STACHNIK D.O.
Provider Business Mailing Address
First Line : 120 SPALDING DR STE 101
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6599
Country : US
Telephone Number : 630-527-7730
Fax Number :
Provider Business Practice Location Address
First Line : 120 SPALDING DR STE 101
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6599
Country : US
Telephone Number : 630-527-7730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2011
Last Update Date : 02/03/2021

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Directions to “ CATHERINE MAYA STACHNIK D.O.” Practice Location

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