Individual
MR. ROBERT DENNIS STALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 938-8850
(630) 938-8849
Mailing address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 938-8850
(630) 938-8849
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209009884
IL
363LF0000X
Family Nurse Practitioner
209.009884
IL
Other
Enumeration date
11/08/2012
Last updated
08/19/2015
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