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Individual

MS. DARCY A STACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTRL

Contact information

Practice address
221 N LASALLE ST, CHICAGO, IL 60601-1206
(312) 855-9206
(312) 855-9210
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006455
IL

Other

Enumeration date
05/29/2007
Last updated
07/13/2011
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