Stack, Cynthia Veronica

Stack, Cynthia Veronica is an individual health care provider with primary practice located at 2300 Childrens Plaza Childrens Memorial Hospital #52, Chicago IL 60614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Stack, Cynthia Veronica can be contacted via phone (773) 880-4352.

Contact Information

Primary practice address
2300 Childrens Plaza Childrens Memorial Hospital #52 Chicago IL 60614
Phone: (773) 880-4352
Fax: (773) 880-3896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 036051310 Illinois

Profile Details

NPI number 1447264932
LBN Legal business name Stack, Cynthia Veronica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447264932 NPPES
Illinois MEDICAID 036051310

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