Stokes Institute Of Urology, LLC
Specialist in Carbondale, IL. Organization (NPI-2).
NPI number1023217015
StatusActive
Last updated in NPPESJan 22, 2010
Details
- NPI
- 1023217015
- Entity type
- Organization (NPI-2)
- Legal business name
- Stokes Institute Of Urology, LLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2007
- Last updated
- Jan 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 036089297 | IL | Yes |
Practice location
305 W Jackson StSuite 400
Carbondale, IL 62901-1474
Phone 618-351-9300 · Fax 618-351-9307
Mailing address
305 W Jackson StSuite 400
Carbondale, IL 62901-1474
Phone 618-351-9300 · Fax 618-351-9307
Authorized official
Sam Stokes
Owner
6183519300
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