Provider Demographics
NPI:1033473798
Name:STEGNER, JAMES RICH JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RICH
Last Name:STEGNER
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:STE 170
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1783
Mailing Address - Country:US
Mailing Address - Phone:224-676-0463
Mailing Address - Fax:
Practice Address - Street 1:165 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:STE 170
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1783
Practice Address - Country:US
Practice Address - Phone:224-676-0463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012208111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor