Provider Demographics
NPI:1962571679
Name:STONITSCH, RONALD DEE (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DEE
Last Name:STONITSCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29420 PLAUTZ RD
Mailing Address - Street 2:
Mailing Address - City:ROCK FALLS
Mailing Address - State:IL
Mailing Address - Zip Code:61071-9496
Mailing Address - Country:US
Mailing Address - Phone:815-668-9675
Mailing Address - Fax:815-364-2776
Practice Address - Street 1:29420 PLAUTZ RD
Practice Address - Street 2:
Practice Address - City:ROCK FALLS
Practice Address - State:IL
Practice Address - Zip Code:61071-9496
Practice Address - Country:US
Practice Address - Phone:815-668-9675
Practice Address - Fax:815-364-2776
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-008975111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9827470OtherBCBS
IL9827470OtherBCBS
ILU79286Medicare UPIN