Brackett, Stephanie

Brackett, Stephanie is an sole proprietor health care provider with primary practice located at 1225 W Lake St , Melrose Park IL 60160-4039. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brackett, Stephanie can be contacted via phone (708) 938-7514.

Contact Information

Primary practice address
1225 W Lake St Melrose Park IL 60160-4039
Phone: (708) 938-7514
Fax: (708) 938-7032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070005582 Illinois

Profile Details

NPI number 1700137858
LBN Legal business name Brackett, Stephanie
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2012
Last updated Sep 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700137858 NPPES
Illinois Other 1306953393 HOSPITAL NPI NUMBER

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