Doctor Name: | STACEY ANNE MARGUERITE |
NPI Number: | 1558505354 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070008992 |
Business Practice Address: | 3330 Old Glenview Rd Suite 9 Wilmette, IL - 600912963 |
Business Phone Number: | 8474211076 |
Business Fax Number: | |
Mailing Address: | 51 Park View Ln, HAWTHORN WOODS |
State: | IL |
Postal Code: | 600478968 |
Phone Number: | 8474211076 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2009 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070008992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |