Individual
MS. KATHLEEN STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4847 N TALMAN AVE, CHICAGO, IL 60625-2822
(773) 791-1167
Mailing address
4847 N TALMAN AVE, CHICAGO, IL 60625-2822
(773) 791-1167
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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