Individual
MISS STACEY NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
275 N YORK ST, ELMHURST, IL 60126-2766
(630) 279-4852
Mailing address
275 N YORK ST, ELMHURST, IL 60126-2766
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
096.004629
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2016
Last updated
05/24/2021
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