Individual
ERNEST STAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 TH AVENUE & ROOSEVELT ROAD, BUILDING 113, HINES VETERANS HOSPITAL, HINES, IL 60141
(708) 202-3628
Mailing address
5 TH AVE & ROOSEVELT ROAD, BUILDING 113, HINES, IL 60141
(708) 202-3628
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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