Individual
DR. STEPHEN TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 W US ROUTE 6 STE 100, MORRIS, IL 60450-3370
(815) 942-4875
(815) 942-5046
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
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
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