Organization · Type 2 NPI
Stardoc Medical LLC
Family Nurse Practitioner · South Holland, IL
NPI number
1316896053
Active
Practice location
15525 S Park Ave Ste 103A
South Holland, IL 60473-1379
Fax (708) 816-5569
Other practice locations
- 19107 Loomis Ave, Homewood, IL 60430-4421 · (708) 466-9351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in South Holland
About NPI 1316896053
Stardoc Medical LLC's National Provider Identifier is 1316896053, issued on Jan 26, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Holland, IL. The record was last updated on Jan 26, 2026.