Individual
BIANCA G STAVRAKAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4954 W 95TH ST, OAK LAWN, IL 60453-2504
(855) 528-8476
Mailing address
4954 W 95TH ST, OAK LAWN, IL 60453-2504
(855) 528-8476
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
IL
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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