Individual
STACY MARIE STIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
(312) 238-1208
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
(312) 238-1208
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036172318
IL
208100000X
Physical Medicine & Rehabilitation Physician
OS12718
FL
2081P0010X
Pediatric Rehabilitation Medicine Physician
66532
WI
2081P0010X
Pediatric Rehabilitation Medicine Physician
OS12718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012186500
—
FL
05
—
1932348059
—
WI
01
—
HW118Z
MEDICARE PTAN
FL
Enumeration date
02/12/2009
Last updated
01/16/2025
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