Individual
DYLAN STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 N AIRLITE ST, ELGIN, IL 60123-4912
(847) 695-3200
(847) 742-4521
Mailing address
PO BOX 261, KIRKLAND, IL 60146-0261
(224) 828-1418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.112286
IL
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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