Provider Demographics
NPI:1720130974
Name:LAMBE, STACY SLOANE (DPT)
Entity Type:Individual
Prefix:MS
First Name:STACY
Middle Name:SLOANE
Last Name:LAMBE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 BRANDON RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-1912
Mailing Address - Country:US
Mailing Address - Phone:847-502-1375
Mailing Address - Fax:
Practice Address - Street 1:1653 W HARRISON ST
Practice Address - Street 2:JONES BLDG 412 ACUTE PT
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3824
Practice Address - Country:US
Practice Address - Phone:312-942-5847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist