Search › Illinois › 207YX0007X
Brendan Stack, MD
NPI 1437165164 · on the registry since 2006
Practice
- Address
- 720 N Bond St
Springfield, IL 62702 - Phone
- (217) 545-8000
- Organisation at this address
- Siu Physicians & Surgeons, Inc
Siu Physicians & Surgeons, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Additional practice sites
- 4301 W Markham St # 543, Little Rock, AR
Registry record
- Primary taxonomy
- 207YX0007X
207YX0007X
- Also registered as
- 207Y00000X
207YS0123X
207YX0007X - Licence states on file
- AR, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-19
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