Stacy Bly
Stacy Bly is a Specialist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
663 W Grace StChicago, IL 60613-4026
Phone: (773) 555-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 070009463 (IL) |
|---|
Record details
| NPI number | 1164744652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 24, 2010 |
| Last updated in NPPES | May 17, 2010 |
| Mailing address | 663 W Grace St Apt 306, Chicago, IL 60613-4024 |
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