Stark, Theresa Rose

Stark, Theresa Rose is an individual health care provider with primary practice located at 3850 W 95Th Street , Evergreen Park IL 60805-2034. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Stark, Theresa Rose can be contacted via phone (773) 556-5333.

Contact Information

Primary practice address
3850 W 95Th Street Evergreen Park IL 60805-2034
Phone: (773) 556-5333
Fax: (708) 843-5811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227-008050 Illinois

Profile Details

NPI number 1275774788
LBN Legal business name Stark, Theresa Rose
Credentials LMT, BCTMB
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2009
Last updated Sep 21st, 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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