| Brendan Curran Stack Jr, MD | |
|
720 N Bond St, Springfield, IL 62702-4952 | |
| (217) 545-8000 | |
| Not Available |
| Full Name | Brendan Curran Stack Jr |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
| Location | 720 N Bond St, Springfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437165164 | NPI | - | NPPES |
| T2005-275 | Other | AR | TRICARE |
| 0507002300 | Other | AR | QUALCHOICE |
| 5N281 | Other | AR | BCBS |
| 5N2817666 | Other | ADDITIONAL MEDICARE | |
| E4564 | Other | AR | MEDICAL LICENSE |
| 158045001 | Medicaid | AR |
| Mailing Address | Practice Location Address |
|---|---|
| Brendan Curran Stack Jr, MD 21001 Lake Vista Dr, Roland, AR 72135-8017 Ph: (501) 868-7299 | Brendan Curran Stack Jr, MD 720 N Bond St, Springfield, IL 62702-4952 Ph: (217) 545-8000 |
Neelam Prakash Phalke, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 | |
Sophia Matos, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 | |
Sara M. Wing, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 301 N 8th St Ste 5b, Springfield, IL 62701 Phone: 217-545-8000 | |
Julliette Tekla Lucas, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-6544 | |
Dana Lynn Crosby, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Suite Pav5b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-0253 | |
Cindy Margaret Moore, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-0253 | |
Leonard P Rybak, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7781 |