Search › Illinois › 225100000X
John Statza
NPI 1154470102 · on the registry since 2007 · sole proprietor
Practice
- Address
- 324 Ashland Ave
Highwood, IL 60040 - Phone
- (847) 433-7558
- Organisation at this address
- Movement Possibilities
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois