Doctor Name: | STEPHEN SANOFSKY |
NPI Number: | 1144225319 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35063661 |
Business Practice Address: | 2001 Butterfield Rd Suite 100 Downers Grove, IL - 605151050 |
Business Phone Number: | 6303229126 |
Business Fax Number: | 6309957965 |
Mailing Address: | 2001 Butterfield Rd, Suite 100 DOWNERS GROVE |
State: | IL |
Postal Code: | 605151050 |
Phone Number: | 6303229126 |
Fax Number: | 6309957965 |
NPI Enumeration Date: | 06/15/2005 |
NPI Last Update Date: | 12/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35063661 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |