SCOTT STACK

CHICAGO, IL
NPI1558118992
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.007136)
Enumeration Date2024-05-03
Last Update Date2024-05-13
Business Address
SCOTT STACK
2641 W HARRISON ST
CHICAGO, IL 60612-3420
Phone number: 224-244-1094
Mailing Address
SCOTT STACK
12216 S AVERS AVE
ALSIP, IL 60803-1302
Phone number: 708-702-0172
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