Most Relevant Information
Provider Data
| NPI Number: | 1003049073 |
| Provider Name: | KELLY STANCZAK DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070-017373 |
Most Important Dates
| Enumeration Date: | 08/25/2009 |
| Last Updated: | 07/28/2017 |
Provider Practice Location
225 E DEERPATH
LAKE FOREST
IL
600451952
Practice Location Phone/Fax
| Phone: | 8474821433 |
| Fax: | 8474821483 |
Provider Mailing Location
625 ENTERPRISE DR.
OAK BROOK
IL
605238813
Provider Mailing Phone/Fax
| Phone: | 6305756250 |
| Fax: | 6305757450 |