Individual
SANFORD A STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N KINGSBURY ST APT 205, CHICAGO, IL 60654-5757
(312) 927-5959
Mailing address
550 N KINGSBURY ST APT 205, CHICAGO, IL 60654-5757
(312) 927-5959
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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