Individual
IAN DAVID STILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1013 TIMOTHY LN, WOODSTOCK, IL 60098-3055
(815) 355-1447
Mailing address
1013 TIMOTHY LN, WOODSTOCK, IL 60098-3055
(815) 355-1447
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004489
IL
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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