| Stacy | |
|
445 W Jackson Ave Suite 206 Naperville IL 60540-5256 | |
| (630) 420-2596 | |
| (630) 420-2796 |
| Full Name | Stacy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 445 W Jackson Ave, Naperville, Illinois |
| Authorized Official Name and Position | Stacy L Perkins (PRESIDENT) |
| Authorized Official Contact | 8153251857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy 445 W Jackson Ave Suite 206 Naperville IL 60540-5256 Ph: (630) 420-2596 | Stacy 445 W Jackson Ave Suite 206 Naperville IL 60540-5256 Ph: (630) 420-2596 |
| NPI Number | 1033311402 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033311402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
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