DR STANLEY DUSHMAN OD LTD

NPI # 

Practice Address:

1671 Misson Hills Road , #302

North Brook, IL, 60062-5733

Practice Phone:

847-800-6691

Practice Fax:

847-272-1735

License Number:

046005878

License State:

IL

Taxonomy Grouping:

Suppliers

Taxonomy Classification:

Durable Medical Equipment & Medical Supplies

Taxonomy Code:

332B00000X

Deactivation Date:

2008-08-13T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2008-11-10T00:00:00.000Z