ROBERT R STACEY

CHICAGO, IL
NPI1639147929
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation Sports Medicine
Enumeration Date2006-03-10
Last Update Date2007-07-08
Business Address
ROBERT R STACEY ATC
6000 W TOUHY AVE SUITE 202
CHICAGO, IL 60646-1275
Phone number: 773-774-4291
Mailing Address
ROBERT R STACEY ATC
8922 N WISNER ST APT. GE
NILES, IL 60714-1764
Phone number: 815-353-5579