Doctor Name: | ANA STIPISIC |
NPI Number: | 1174565774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 2233 W Division Chicago, IL - 60622 |
Business Phone Number: | 3127702180 |
Business Fax Number: | |
Mailing Address: | 1122 N Dearborn, Apt 23j CHICAGO |
State: | IL |
Postal Code: | 60610 |
Phone Number: | 3127702180 |
Fax Number: | 3127702161 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 04/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |