Individual
JACOB STONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, LAT, ATC
Contact information
Practice address
3225 W FOSTER AVE, CHICAGO, IL 60625-4823
(302) 242-3106
Mailing address
1961 N WILMOT AVE, CHICAGO, IL 60647-4427
(302) 242-3106
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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