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Scott Stack
NPI 1558118992 · on the registry since 2024
Practice
- Address
- 12216 S Avers Ave
Alsip, IL 60803 - Phone
- (708) 702-0172
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois