Stacey Bethune, MS, ATC
Specialist · Bolingbrook, IL
Practice location
790 Remington BlvdBolingbrook, IL 60440-4909
- Phone
- (630) 296-2222
NPI record
- NPI
- 1063823706
- Entity type
- Individual (Type 1)
- Enumeration date
- May 15, 2014
- Last updated
- May 15, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
096.003703 | IL |
About Stacey Bethune
Stacey Bethune, MS, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 790 Remington Blvd, Bolingbrook, IL 60440-4909. The NPI number 1063823706 was assigned on May 15, 2014 and the record was last updated on May 15, 2014.
Stacey Bethune lists a license in the registry: #096.003703 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Stacey Bethune, MS, ATC?
The NPI number is 1063823706.
What is the phone number of Stacey Bethune?
The phone number listed for the practice location is (630) 296-2222.
Where is Stacey Bethune located?
790 Remington Blvd, Bolingbrook, IL 60440-4909.
What is the taxonomy code for Stacey Bethune?
The primary taxonomy code is 174400000X – Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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