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Contact Information

STACEY NAVARRO, ATC
275 N YORK ST
ELMHURST, IL60126-2766
 Phone: 630-279-4852
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STACEY NAVARRO · (Female)

NPI # 1578012290
Status Active
Credentials ATC
Entity Individual
Enumeration date 09/22/2016
Last updated 05/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 096.004629
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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