Stagl, Richard D
Stagl, Richard D is an individual health care provider with primary practice located at 1713 Central St , Evanston IL 60201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Stagl, Richard D can be contacted via phone (847) 869-1499.Contact Information
Primary practice address
1713 Central St
Evanston IL 60201
Phone: (847) 869-1499
Fax: (847) 869-2932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036066559 | Illinois |
Profile Details
| NPI number | 1851368328 |
|---|---|
| LBN Legal business name | Stagl, Richard D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Oct 6th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851368328 | NPPES |
| Illinois | MEDICAID | 036066559 |
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