Clark, Stacia

Clark, Stacia is an sole proprietor health care provider with primary practice located at 2695 Leyland Ln , Aurora IL 60504-6049. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Clark, Stacia can be contacted via phone (630) 209-3109.

Contact Information

Primary practice address
2695 Leyland Ln Aurora IL 60504-6049
Phone: (630) 209-3109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1578828448
LBN Legal business name Clark, Stacia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2012
Last updated Jul 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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