Most Relevant Information
Provider Data
| NPI Number: | 1003491242 |
| Provider Name: | ALLISON CLAIRE VAN STAALDUINEN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/09/2021 |
| Last Updated: | 11/04/2021 |
Provider Practice Location
800 BIESTERFIELD RD
ELK GROVE VILLAGE
IL
600073361
Practice Location Phone/Fax
| Phone: | 2242733152 |
| Fax: |
Provider Mailing Location
800 BIESTERFIELD RD
ELK GROVE VILLAGE
IL
600073361
Provider Mailing Phone/Fax
| Phone: | 2242733152 |
| Fax: |