Provider Demographics
NPI:1558623454
Name:STIMAC, TRICIA KATHERINE (DVM)
Entity Type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:KATHERINE
Last Name:STIMAC
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2017
Mailing Address - Country:US
Mailing Address - Phone:708-423-3200
Mailing Address - Fax:708-423-3484
Practice Address - Street 1:3811 W 95TH ST
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2017
Practice Address - Country:US
Practice Address - Phone:708-423-3200
Practice Address - Fax:708-423-3484
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL090009884174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian