Individual
MATTHEW STIEFEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5670 RFD, LONG GROVE, IL 60047-8252
(847) 254-5914
Mailing address
228 BELMONT DR, LINCOLNSHIRE, IL 60069-3888
(847) 254-5914
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005136
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/02/2015
Last updated
09/23/2020
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