Stockton Mcquade Mayer D.O.

NPI 1114193240 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1114193240
Gender Male
Enumeration Date 05/08/2008
Last Updated 02/20/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
808 S WOOD ST
ROOM 888 MC 735
CHICAGO IL, 60612-7300, US
Phone (312) 996-6763
Fax
Business Location
3315 W GEORGE ST UNIT 2
CHICAGO IL, 60618-7513, US
Phone (703) 282-2241
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Stockton Mcquade Mayer D.O. NPI is 1114193240, taxonomy code is 390200000X Stockton Mcquade Mayer D.O. physically located at 808 S Wood St, Chicago IL, 60612-7300. NPI Number Stockton Mcquade Mayer D.O. has the Individual type.

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1114193240 NPI number is provided on an as is basis without warranty of any kind. 1114193240 is maintained by the National Plan & Provider Enumeration System. The contents of Stockton Mcquade Mayer D.O. are for informational purposes only.