Stuck, Rodney

Stuck, Rodney is an individual health care provider with primary practice located at 2160 S 1St Ave (17W740 22Nd Street, Oakbrook Terrace, Il. 60181), Maywood IL 60153. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Stuck, Rodney can be contacted via phone (630) 627-7399.

Contact Information

Primary practice address
2160 S 1St Ave (17W740 22Nd Street, Oakbrook Terrace, Il. 60181) Maywood IL 60153
Phone: (630) 627-7399
Fax: (630) 627-7079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 16003859 Illinois

Profile Details

NPI number 1578537809
LBN Legal business name Stuck, Rodney
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated May 12th, 2021 - about 3 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 1578537809 NPPES
Illinois MEDICAID 16003859
Illinois Other L98023

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