Provider Demographics
NPI:1508826264
Name:STERBA, ANDY R (ATC/L)
Entity Type:Individual
Prefix:MR
First Name:ANDY
Middle Name:R
Last Name:STERBA
Suffix:
Gender:M
Credentials:ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 DEVONSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-6362
Mailing Address - Country:US
Mailing Address - Phone:847-321-0861
Mailing Address - Fax:
Practice Address - Street 1:2455 DEVONSHIRE CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-6362
Practice Address - Country:US
Practice Address - Phone:847-321-0861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL096-0015822255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer