Robert R Stacey in Niles - Sports Medicine

Robert R Stacey - NPI 1639147929

Robert R Stacey is a Sports Medicine in Niles, Illinois. Robert R Stacey practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Robert R Stacey is 1639147929. The last update date is 2007-07-08.

Robert R Stacey's current location address is 8922 N Wisner St, Niles, Illinois. You can contact this provider via phone number 8153535579. The mailing address for Robert R Stacey is 8922 N Wisner St, Niles, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert R Stacey
Address 8922 N Wisner St, Niles, Illinois
Phone Number 8153535579
Fax Number
Sole Proprietor X
Credentials ATC

NPI Number Detail

NPI Number 1639147929
Provider Enumeration Date 2006-03-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8922 N Wisner St
City Niles
State Illinois (IL)
Post Code 607141764
Phone Number 8153535579
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 2081S0010X
Definition:
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of

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FAQs about Robert R Stacey

What is the unique 10-digit identifier code assigned to Robert R Stacey by the Centers for Medicare & Medicaid Services?

The Robert R Stacey has been issued the NPI (National Provider Identifier) 1639147929 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Robert R Stacey located?

The Robert R Stacey is located at 8922 N Wisner St, Niles, IL 607141764.

What is the area of specialization for Robert R Stacey, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert R Stacey is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2081S0010X.

On what date did the Robert R Stacey receive its 1639147929 assignment from the Centers for Medicare & Medicaid Services?

The Robert R Stacey was assigned its 1639147929 by the Centers for Medicare & Medicaid Services on 2006-03-10.

As of what date were the details pertaining to Robert R Stacey last refreshed?

The information related to the Robert R Stacey, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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