Stacey, Robert R

Stacey, Robert R is an individual health care provider with primary practice located at 6000 W Touhy Ave Suite 202, Chicago IL 60646-1275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Stacey, Robert R can be contacted via phone (773) 774-4291.

Contact Information

Primary practice address
6000 W Touhy Ave Suite 202 Chicago IL 60646-1275
Phone: (773) 774-4291
Fax: (773) 774-4527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X Illinois

Profile Details

NPI number 1639147929
LBN Legal business name Stacey, Robert R
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 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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