SearchIllinois261QR0405X

Elvina Stegall

NPI 1699184846 · on the registry since 2014 · sole proprietor

Practice

Address
15525 S Park Ave
Suite 114
South Holland, IL 60473
Phone
(708) 263-9512
Fax
(708) 825-1244
Organisation at this address
Stardoc Medical Llc
Lakar Enterprise Llc
Qualitylife Healthcare,Llc
Qualitylife Healthcare,Llc
Awesome Star Enterprise Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
261QR0405X
261QR0405X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-05

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