Individual
ALLISON CLAIRE VAN STAALDUINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(224) 273-3152
Mailing address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(224) 273-3152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008443
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/09/2021
Last updated
11/04/2021
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