Search › Illinois › 222Q00000X
Stacey Richardson, DTA
NPI 1740498930 · on the registry since 2007
Practice
- Address
- 17736 Sycamore Ave
Country Club Hills, IL 60478 - Phone
- (708) 408-1320
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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