Individual
MRS. JILL SUSAN STARK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2293 AVALON DR, BUFFALO GROVE, IL 60089-4688
(847) 275-3482
Mailing address
2293 AVALON DR, BUFFALO GROVE, IL 60089-4688
(847) 275-3482
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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