Individual
DR. STACEY LYNN CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
808 S WOOD ST, RM. 471, CHICAGO, IL 60612-7300
(312) 413-7480
Mailing address
419 N HARVEY AVE, OAK PARK, IL 60302-2336
(773) 510-4180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036117846
IL
Other
Enumeration date
05/31/2007
Last updated
01/04/2012
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