Tina Stalker is a Pediatrics in Chicago, Illinois. Tina Stalker practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tina Stalker is 1265566426. The last update date is 2007-07-08.
Tina Stalker's current location address is 1620 N La Salle Dr, Chicago, Illinois. You can contact this provider via phone number 3129433600. The mailing address for Tina Stalker is 1620 N La Salle Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Stalker |
|---|---|
| Address | 1620 N La Salle Dr, Chicago, Illinois |
| Phone Number | 3129433600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1265566426 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1620 N La Salle Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606146005 |
| Phone Number | 3129433600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 70003193 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103034 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tina Stalker by the Centers for Medicare & Medicaid Services (CMS)?
The Tina Stalker has been assigned the NPI (National Provider Identifier) 1265566426. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Tina Stalker is geographically located?
The Tina Stalker is physically situated at the following location: 1620 N La Salle Dr, Chicago, IL, 606146005.
What is the Tina Stalker's area of specialization and corresponding taxonomy classification?
The Tina Stalker's specialty field is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265566426 to Tina Stalker?
The Centers for Medicare & Medicaid Services originally issued the 1265566426 to Tina Stalker on 2007-03-16.
As of what date was the information pertaining to Tina Stalker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tina Stalker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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