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Brendan Curran Stack JR., MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Springfield, Illinois
NPI 1437165164

Brendan Curran Stack JR. is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Roland, IL and is specialized in Plastic Surgery within the Head & Neck. Brendan Curran Stack JR. practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Brendan Curran Stack JR. is 1437165164 and holds a License No. E4564 (Illinois).

The current practice location address for Brendan Curran Stack JR. is 720 N Bond St, Springfield, IL and can be reached out via phone at 217-545-8000. You can also correspond with Brendan Curran Stack JR. through the mailing address at 21001 LAKE VISTA DR, ROLAND, AR - 72135-8017 (mailing address contact number: 501-868-7299).

Location: 720 N Bond St, Springfield, IL, 72135-8017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437165164
Provider Name
Brendan Curran Stack JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
720 N Bond St, Springfield, IL, 72135-8017
Phone Number
217-545-8000
Fax Number
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T2005-275 01 AR TRICARE
0507002300 01 AR QUALCHOICE
5N281 01 AR BCBS
5N2817666 01 ADDITIONAL MEDICARE
E4564 01 AR MEDICAL LICENSE
158045001 05 AR
institution
Provider Business Practice Location Address Details
Address
720 N Bond St
City
Springfield
State
Illinois
Zip
62702-4952
Phone Number
217-545-8000
Fax Number
person
Provider Business Mailing Address Details
Address
21001 Lake Vista Dr
City
Roland
State
Arkansas
Zip
72135-8017
Phone Number
501-868-7299
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
E-4564 (Arkansas)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
E4564 (Arkansas)
Definition
An otolaryngologist who specializes in facial plastic surgery.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
E4564 (Arkansas)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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