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1639147929
ROBERT R STACEY
CHICAGO, IL
NPI
1639147929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: IL 096-002109)
Enumeration Date
2006-03-10
Last Update Date
2007-07-08
Business Address
-- ROBERT R STACEY ATC
6000 W TOUHY AVE SUITE 202
CHICAGO, IL 60646-1275
Phone number: 773-774-4291
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Mailing Address
-- ROBERT R STACEY ATC
8922 N WISNER ST APT. GE
NILES, IL 60714-1764
Phone number: 815-353-5579
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