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Elvina Stegall
Substance Use Disorder Rehabilitation Clinic/Center in South Holland, Illinois
NPI 1699184846

Elvina Stegall is a Substance Use Disorder Rehabilitation Clinic/Center based in South Holland, IL and is specialized in Rehabilitation, Substance Use Disorder. Elvina Stegall practices in South Holland, IL. The NPI Number for Elvina Stegall is 1699184846 and holds a License No. A58520002A (Illinois).

The current practice location address for Elvina Stegall is 15525 S Park Ave, South Holland, IL and can be reached out via phone at 708-263-9512 and via fax at 708-825-1244.

Location: 15525 S Park Ave, South Holland, IL, 60473-1380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699184846
Provider Name
Elvina Stegall
Credential
Provider Entity Type
Individual
Gender
Female
Address
15525 S Park Ave, South Holland, IL, 60473-1380
Phone Number
708-263-9512
Fax Number
708-825-1244
Provider Enumeration Date
08/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15525 S Park Ave
City
South Holland
State
Illinois
Zip
60473-1308
Phone Number
708-263-9512
Fax Number
708-825-1244
person
Provider Business Mailing Address Details
Address
15525 S Park Ave
City
South Holland
State
Illinois
Zip
60473-1308
Phone Number
708-263-9512
Fax Number
708-825-1244
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
A58520002A (Illinois)
Definition
Definition to come...
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