Individual
KELLY JEAN-MARIE STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7252
(708) 237-7201
Mailing address
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7200
(708) 237-7201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004943
IL
Other
Enumeration date
02/20/2014
Last updated
11/28/2022
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