Individual
ROBERT R STACEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6000 W TOUHY AVE, SUITE 202, CHICAGO, IL 60646-1275
(773) 774-4291
(773) 774-4527
Mailing address
8922 N WISNER ST, APT. GE, NILES, IL 60714-1764
(815) 353-5579
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
IL
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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