STACIE D MCCLANE

CHICAGO, IL
NPI1245258490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207YS0123X Otolaryngology, Facial Plastic Surgery
(Licence: IL  036-106591)
Additional Taxonomies2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck
(Licence: IL  036-106591)
Enumeration Date2006-07-17
Last Update Date2014-04-25
Business Address
-- STACIE D MCCLANE D.R.
680 N. LAKE SHORE DRIVE SUITE 1425
CHICAGO, IL 60611
Phone number: 312-867-9500
Mailing Address
-- STACIE D MCCLANE D.R.
680 N. LAKE SHORE DRIVE SUITE 1425
CHICAGO, IL 60611
Phone number: 312-867-9500