Provider Demographics
NPI:1982698841
Name:EMERY-STOLZER, BARBARA A (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:EMERY-STOLZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1804 N NAPER BLVD
Mailing Address - Street 2:STE 103
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8830
Mailing Address - Country:US
Mailing Address - Phone:630-646-6200
Mailing Address - Fax:630-428-4188
Practice Address - Street 1:1804 N NAPER BLVD STE 103
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8831
Practice Address - Country:US
Practice Address - Phone:630-646-6200
Practice Address - Fax:630-428-4188
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036070993207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036070993Medicaid
E24391Medicare UPIN
IL036070993Medicaid