Individual
ANDREA STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4801 W PETERSON AVE, SUITE 314, CHICAGO, IL 60646-5713
(773) 777-4947
Mailing address
900 RAND RD, SUITE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
03/17/2021
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