Individual
DAWN MARIE STACKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS, CCS
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-3650
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-3650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.008365
IL
Other
Enumeration date
04/21/2008
Last updated
03/27/2013
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