Individual
DR. DERRICK STABLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
115 RIESER CIR, NAPERVILLE, IL 60565-2033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023256
IL
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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