Individual provider · Type 1 NPI
Elvina Stegall
Substance Use Disorder Rehabilitation Clinic/Center · South Holland, IL
NPI number
1699184846
Active
Practice location
15525 S Park Ave, Suite 114
South Holland, IL 60473-1308
Fax (708) 825-1244
Mailing address
15525 S Park Ave Ste 114
South Holland, IL 60473-1380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | A58520002A (IL) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1699184846
Elvina Stegall's National Provider Identifier is 1699184846, issued on Aug 12, 2014. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in South Holland, IL. The record was last updated on Apr 5, 2017.