MICHELE STACK

OAK PARK, IL
NPI1568594240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209005838)
Enumeration Date2007-03-09
Last Update Date2008-02-21
Business Address
Mrs. MICHELE STACK CRNA
520 S MAPLE AVE
OAK PARK, IL 60304-1022
Phone number: 708-660-3500
Mailing Address
Mrs. MICHELE STACK CRNA
4616 W 100TH PL
OAK LAWN, IL 60453-4118
Phone number: 708-423-3084
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