Decristofaro, Stacy

Decristofaro, Stacy is an sole proprietor health care provider with primary practice located at 1799 Kings Gate Ln , Crystal Lake IL 60014-2906. 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. Decristofaro, Stacy can be contacted via phone (815) 276-7786.

Contact Information

Primary practice address
1799 Kings Gate Ln Crystal Lake IL 60014-2906
Phone: (815) 276-7786
Fax: (815) 788-1321
Website:
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Health care specialties

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

Profile Details

NPI number 1134451552
LBN Legal business name Decristofaro, Stacy
Credentials DT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2010
Last updated Feb 10th, 2010 - about 14 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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