Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2014018323 | MO |
N | 111NI0900X | Internist | 2014018323 | MO |
Y | 207RI0200X | Infectious Disease | 036.143608 | IL |
NPI | 1083028880 |
---|---|
Provider Name | William Stoecker |
First Address | Burr Ridge, IL 60527-0872 |
Second Address | Burr Ridge, IL 60527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2014 |
Last Update Date | 18/06/2019 |