Provider Demographics
NPI:1992872485
Name:DUCK, STEPHEN C (MD)
Entity type:Individual
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First Name:STEPHEN
Middle Name:C
Last Name:DUCK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2650 RIDGE AVE
Mailing Address - Street 2:EVANSTON HOSPITAL
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-507-1206
Mailing Address - Fax:847-570-1248
Practice Address - Street 1:9977 WOODS DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1057
Practice Address - Country:US
Practice Address - Phone:847-663-8508
Practice Address - Fax:847-663-8535
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B52533Medicare UPIN