Individual
LUCAS STIMACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4605 WISCONSIN AVE, FOREST VIEW, IL 60402-4245
(708) 788-8319
Mailing address
4605 WISCONSIN AVE, FOREST VIEW, IL 60402-4245
(708) 788-8319
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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