Isrow, Stacey Marie

Isrow, Stacey Marie 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 Other Service Providers / Specialist, which is considered as her primary health care specialty. Isrow, Stacey Marie can be contacted via phone (815) 276-7786.

Contact Information

Primary practice address
1799 Kings Gate Ln Crystal Lake IL 60014-2906
Fax: (815) 788-1321
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1649366063
LBN Legal business name Isrow, Stacey Marie
Credentials BS/PSYC, DT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 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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