Kelly Stanczak
Physical Therapist
225 E Deerpath
Lake Forest
, Illinois 60045-1952
Kelly Stanczak
Physical Therapist
225 E Deerpath
Lake Forest
, Illinois 60045-1952
(630) 575-7450
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Kelly Stanczak
- 625 Enterprise Dr.
- Oak Brook, IL
- Zip : 60523-8813
- Fax : (630) 575-7450
- Phone : (630) 575-6250
Second Address
- Kelly Stanczak
- 225 E Deerpath
- Lake Forest, IL
- Zip : 60045-1952
- Fax : (847) 482-1483
- Phone : (847) 482-1433
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070-017373 | IL |
National Provider Identifier
| NPI | 1003049073 |
|---|---|
| Provider Name | Kelly Stanczak |
| First Address | Oak Brook, IL 60523-8813 |
| Second Address | Lake Forest, IL 60045-1952 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2009 |
| Last Update Date | 28/07/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.