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NPI Code Detail

MEDICARE: STACI SCHIEFELBEIN

MEDICARE: STACI SCHIEFELBEIN
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
1225200000XPhysical Therapy Assistant160.006968IL

General Provider Information

NPI Number : 1679970115
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACI SCHIEFELBEIN
Provider Business Mailing Address
First Line : 368 S WOODWARD ST
Second Line :
City : BEECHER
State : IL
Zip : 60401-5080
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12550 S RIDGELAND AVE
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-1859
Country : US
Telephone Number : 708-597-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2014
Last Update Date : 11/27/2014

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Directions to “ STACI SCHIEFELBEIN ” Practice Location

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