Individual
ELVINA STEGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15525 S PARK AVE, SUITE 114, SOUTH HOLLAND, IL 60473-1308
(708) 263-9512
(708) 825-1244
Mailing address
15525 S PARK AVE STE 114, SOUTH HOLLAND, IL 60473-1380
(708) 263-9512
(708) 825-1244
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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