Individual
BRETT NICOLE STALLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
353 N DESPLAINES ST, APT 3704, CHICAGO, IL 60661-1234
(217) 416-0401
Mailing address
353 N DESPLAINES ST, APT 3704, CHICAGO, IL 60661-1234
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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