Chan, Staci

Chan, Staci is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Chan, Staci can be contacted via phone (708) 684-5369.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (708) 684-5369
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056.011256 Illinois

Profile Details

NPI number 1962874917
LBN Legal business name Chan, Staci
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2015
Last updated Oct 28th, 2015 - about 11 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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