Provider Demographics
NPI:1700321775
Name:STIRLING, ALAN
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:STIRLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 S CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRADLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60915-2113
Mailing Address - Country:US
Mailing Address - Phone:815-263-4407
Mailing Address - Fax:
Practice Address - Street 1:447 S CENTER AVE
Practice Address - Street 2:
Practice Address - City:BRADLEY
Practice Address - State:IL
Practice Address - Zip Code:60915-2113
Practice Address - Country:US
Practice Address - Phone:815-263-4407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL#L-2016-332171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications