Individual
DR. STEPHEN TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036093854
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.093854
IL LICENSE
IL
Enumeration date
08/05/2006
Last updated
01/20/2022
Update your record
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