Individual
ELVINA STEGALL
Active
Individual
ELVINA STEGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A58520002A
IL
Other
Enumeration date
08/12/2014
Last updated
04/05/2017
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