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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENDAN CURRAN STACK JR., MD

Active

BRENDAN CURRAN STACK JR., MD is a Plastic Surgery within the Head & Neck healthcare provider located in SPRINGFIELD, Illinois. NPI 1437165164 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery within the Head & Neck · SPRINGFIELD, IL

Registration Details

NPI Number
1437165164
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2006 (20.058752009305 yrs)
Last Updated
Feb 19, 2020
Licenses
E4564 (AR)
E4564 (AR)
E-4564 (AR)
036-151806 (IL)

Practice Information

Address
720 N BOND ST
SPRINGFIELD, IL, 627024952
Browse IL providers · Browse ZIP 62702
Phone
2175458000
Primary Specialty
Plastic Surgery within the Head & Neck
207YX0007X

Other Plastic Surgery within the Head & Neck Providers in SPRINGFIELD, IL

Name Credential NPI
MUTHUSWAMY DHIWAKAR MD 1467601583
DR. HOSSEINALI JAFARI MD 1861731689
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.