Individual
DUSTIN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
5230 S BLACKSTONE AVE, CHICAGO, IL 60615-4106
(773) 256-1475
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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