Individual
MARK STEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1070 W MAIN ST, SUITE 185, PLAINFIELD, IN 46168-9700
(317) 268-9000
(317) 268-9001
Mailing address
600 OAKMONT LN, STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004956A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201002980
—
IN
Enumeration date
07/10/2007
Last updated
06/08/2020
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