NPI 1003049073

Kelly Stanczak, DPT

Practitioner Physical Therapist Lake Forest, IL

Practice location

Address: 225 E Deerpath, Lake Forest, IL 60045-1952
Phone: (847) 482-1433
Fax: (847) 482-1483
Mailing address: 625 Enterprise Dr., Oak Brook, IL 60523-8813

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 070-017373 (IL)

Other Physical Therapist providers in Illinois →

Registry record

NPI: 1003049073
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2009
Record last updated: 28 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.