Kelly Stanczak, DPT

NPI #1003049073 in Lake Forest, Illinois

Provider Information

NPI Number: 1003049073
Entity Type: Individual
Name: Kelly Stanczak, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 25, 2009
Last Updated: Jul 28, 2017

Practice Location

Address: 225 E DEERPATH
City: Lake Forest
State: Illinois
ZIP Code: 60045-1952
Phone: (847) 482-1433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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