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NPI Code Detail

MEDICARE: ALLISON STIEFEL MPT

MEDICARE: ALLISON STIEFEL MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist070012962IL

General Provider Information

NPI Number : 1285760173
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON STIEFEL MPT
Provider Business Mailing Address
First Line : 1031 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60610-2809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 N KINGSBURY ST
Second Line :
City : CHICAGO
State : IL
Zip : 60654-5721
Country : US
Telephone Number : 312-527-5801
Fax Number : 312-644-4567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 03/24/2010

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Directions to “ ALLISON STIEFEL MPT” Practice Location

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