Michael Dillard Stark in Chicago - Psychiatry
Michael Dillard Stark - NPI 1316101710
Michael Dillard Stark is a Psychiatry in Chicago, Illinois. Michael Dillard Stark practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Michael Dillard Stark is 1316101710. The last update date is 2023-03-23.
Michael Dillard Stark's current location address is Po Box 775383, Chicago, Illinois. You can contact this provider via phone number 8123765315 and fax number 8123753477. The mailing address for Michael Dillard Stark is Po Box 775383, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dillard Stark |
|---|---|
| Address | Po Box 775383, Chicago, Illinois |
| Phone Number | 8123765315 |
| Fax Number | 8123753477 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316101710 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2023-03-23 |
Provider Mailing Address Detail
| Address | Po Box 775383 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606775383 |
| Phone Number | 8123765315 |
| Fax Number | 8123753477 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 11013994A |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200955430 | IN | -- | |
| 983427 | IN | ANTHEM PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Dillard Stark by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Dillard Stark has been assigned the NPI (National Provider Identifier) 1316101710. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Michael Dillard Stark is physically located?
The Michael Dillard Stark is situated at the following address: Po Box 775383, Chicago, IL 606775383.
What is Michael Dillard Stark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Dillard Stark is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did Michael Dillard Stark receive its 1316101710 assignment from the Centers for Medicare & Medicaid Services?
The Michael Dillard Stark was assigned its 1316101710 on 2008-07-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michael Dillard Stark most recently updated?
The details pertaining to the Michael Dillard Stark, including its address, specialty, and other relevant information, were last refreshed on 2023-03-23.