SearchIllinois106H00000X

Mark Stahnke, M.DIV

NPI 1821205154 · on the registry since 2007 · sole proprietor

Practice

Address
542 Crosat St
La Salle, IL 61301
Phone
(815) 223-4007
Fax
(815) 224-4550
Clinicians at this address
2

Registry record

Primary taxonomy
106H00000X
106H00000X
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