Douglas M Stam in Bourbonnais - Sports Physician
Douglas M Stam - NPI 1568576114
Douglas M Stam is a Sports Physician in Bourbonnais, Illinois. Douglas M Stam practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Douglas M Stam is 1568576114. The last update date is 2023-09-06.
Douglas M Stam's current location address is 396 Belle Aire Ave, Bourbonnais, Illinois. You can contact this provider via phone number 8159337391. The mailing address for Douglas M Stam is 396 Belle Aire Ave, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas M Stam |
|---|---|
| Address | 396 Belle Aire Ave, Bourbonnais, Illinois |
| Phone Number | 8159337391 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1568576114 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2023-09-06 |
Provider Mailing Address Detail
| Address | 396 Belle Aire Ave |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 609142010 |
| Phone Number | 8159337391 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4682104 | IL | BC/BS NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas M Stam by the Centers for Medicare & Medicaid Services?
The Douglas M Stam has been assigned the NPI (National Provider Identifier) 1568576114. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Douglas M Stam is located?
The Douglas M Stam is situated at the following address: 396 Belle Aire Ave, Bourbonnais, IL, 609142010.
What is Douglas M Stam's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas M Stam's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did the Douglas M Stam receive its 1568576114 assignment from the Centers for Medicare & Medicaid Services?
The Douglas M Stam was assigned its 1568576114 by the Centers for Medicare & Medicaid Services on 2006-08-19.
As of what date was the information pertaining to Douglas M Stam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglas M Stam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-06.