| Doctor Name: | DR. STANLEY JOSEPH KOVAK |
| NPI Number: | 1598875320 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036072273 |
| Business Practice Address: | 1200 S York Rd #4180 Elmhurst, IL - 601265626 |
| Business Phone Number: | 6307580470 |
| Business Fax Number: | 6307580471 |
| Mailing Address: | 17w535 Butterfield Rd, Ste 100 OAKBROOK TERRACE |
| State: | IL |
| Postal Code: | 601814010 |
| Phone Number: | 7084530013 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 04/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036072273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |