Individual
REBECCA C STOLAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 DEMPSTER ST, APT. 208, EVANSTON, IL 60201-4797
(847) 733-0169
Mailing address
6313 N WAYNE AVE, #2N, CHICAGO, IL 60660-1307
(773) 544-2955
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227004136
IL
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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