RICHARD STACY BIRMANTAS

MCHENRY, IL
NPI1700387065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2018-02-22
Last Update Date2018-02-22
Business Address
RICHARD STACY BIRMANTAS
6515 WEST ROUTE 120
MCHENRY, IL 60050
Phone number: 815-385-0640
Mailing Address
RICHARD STACY BIRMANTAS
2005 ERNEST LN
JOHNSBURG, IL 60051-6364
Phone number:
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