Organization
STACEY MARGUERITE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY A MARGUERITE PT (OWNER/PEDIATRIC PHYSICAL THERAPY)
(847) 421-1076
Entity
Organization
Contact information
Practice address
3330 OLD GLENVIEW RD, SUITE 9, WILMETTE, IL 60091-2963
(847) 421-1076
(847) 307-7955
Mailing address
51 PARK VIEW LN, HAWTHORN WOODS, IL 60047-8968
(847) 421-1076
(847) 307-7955
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070008992
IL
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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