Individual
REBECCA STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 W MAIN ST, CARY, IL 60013-2718
(847) 639-5800
Mailing address
750 E TERRA COTTA AVE STE C, CRYSTAL LAKE, IL 60014-3621
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005891
IL
Other
Enumeration date
04/10/2017
Last updated
03/31/2026
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