Eilermann, Stacy L

Eilermann, Stacy L is an individual health care provider with primary practice located at 18209 Eula Mae Pkwy , Carlyle IL 62231-6407. 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. Eilermann, Stacy L can be contacted via phone (618) 594-3671.

Contact Information

Primary practice address
18209 Eula Mae Pkwy Carlyle IL 62231-6407
Phone: (618) 594-3671
Fax: (618) 594-8058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-016995 Illinois

Profile Details

NPI number 1356623672
LBN Legal business name Eilermann, Stacy L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2011
Last updated Aug 7th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356623672 NPPES
Kansas Other 070-016995 ILLINOIS LICENSE NUMBER

Popular Providers