Doctor Name: | MS. RENE MARIE STOLARCZYK |
NPI Number: | 1013014307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, NP |
License Number: | |
Business Practice Address: | 5th Avenue Building 228 Hines, IL - 60141 |
Business Phone Number: | 7082023512 |
Business Fax Number: | 7082024700 |
Mailing Address: | Po Box 5000, HINES |
State: | IL |
Postal Code: | 60141 |
Phone Number: | 7082023512 |
Fax Number: | 7082024700 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |