Individual
BRIA STANCIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8419 S COTTAGE GROVE, CHICAGO, IL 60619
(773) 651-0200
Mailing address
7000 S MAY ST, CHICAGO, IL 60621-1195
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222229726
—
IL
Enumeration date
12/05/2018
Last updated
12/05/2018
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