Stacy Bly is a Specialist based in Chicago, IL. Stacy Bly practices in Chicago, IL. The NPI Number for Stacy Bly is 1164744652 and holds a License No. 070009463 (Illinois).
The current practice location address for Stacy Bly is 663 W Grace St, Chicago, IL and can be reached out via phone at 773-555-5555.
Location: 663 W Grace St, Chicago, IL, 60613-4024
Provider Profile Details
NPI Number
1164744652
Provider Name
Stacy Bly
Credential
Provider Entity Type
Individual
Gender
Female
Address
663 W Grace St, Chicago, IL, 60613-4024
Phone Number
773-555-5555
Fax Number
Provider Enumeration Date
02/24/2010
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
663 W Grace St
City
State
Zip
60613-4026
Phone Number
773-555-5555
Fax Number
Provider Business Mailing Address Details
Address
663 W Grace St
City
State
Zip
60613-4026
Phone Number
773-555-5555
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
070009463 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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