Peterson, Stacy

Peterson, Stacy is an sole proprietor health care provider with primary practice located at 8615 Crawford Ave , Skokie IL 60076-2125. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Peterson, Stacy can be contacted via phone (630) 776-1936.

Contact Information

Primary practice address
8615 Crawford Ave Skokie IL 60076-2125
Phone: (630) 776-1936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1942460563
LBN Legal business name Peterson, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2008
Last updated Jun 17th, 2008 - about 18 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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