NPI 1114356557
Vladimir Stalev, REGISTEREDSA
Practice location
- Address
- 5978 N Lincoln Ave APT 2c, Chicago, IL 60659-3747
- Phone
- (847) 415-2850
Registered specialties
Surgical Technologist
Primary
Registry record
- NPI
- 1114356557
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Nov 2013
- Record last updated
- 6 Nov 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.