Stahl, Jaclyn Leigh

Stahl, Jaclyn Leigh is an individual health care provider with primary practice located at 101 Waukegan Rd Ste 1100 , Lake Bluff IL 60044-3012. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Stahl, Jaclyn Leigh can be contacted via phone (847) 247-2402.

Contact Information

Primary practice address
101 Waukegan Rd Ste 1100 Lake Bluff IL 60044-3012
Phone: (847) 247-2402
Fax: (847) 247-2405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.005959 Illinois

Profile Details

NPI number 1467832089
LBN Legal business name Stahl, Jaclyn Leigh
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2015
Last updated Jan 11th, 2018 - about 7 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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