KELLY STANCZAK

LAKE FOREST, IL
NPI1003049073
Former NameKELLY SHIELDS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-017373)
Enumeration Date2009-08-25
Last Update Date2017-07-28
Business Address
-- KELLY STANCZAK DPT
225 E DEERPATH
LAKE FOREST, IL 60045-1952
Phone number: 847-482-1433
Mailing Address
-- KELLY STANCZAK DPT
625 ENTERPRISE DR.
OAK BROOK, IL 60523-8813
Phone number: 630-575-6250
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