Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Marie Isrow, BS/PSYC, DT

Individual provider Specialist · NPI 1649366063

Stacey Marie Isrow, BS/PSYC, DT is a Specialist in Crystal Lake, Illinois. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1799 Kings Gate Ln
Crystal Lake, IL 60014-2906
Phone: (815) 276-7786
Fax: (815) 788-1321
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1649366063
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS/PSYC , DT
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 8, 2007

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