Individual
STACY GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1590 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3793
(847) 607-1862
Mailing address
1625 TAHOE CIRCLE DR, WHEELING, IL 60090-5137
(224) 436-2050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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