Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELVINA STEGALL
Active Sole ProprietorELVINA STEGALL is a Substance Use Disorder Rehabilitation Facility healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1699184846 is currently active in the NPPES registry. Verify at CMS.
Substance Use Disorder Rehabilitation Facility · SOUTH HOLLAND, IL
Registration Details
- NPI Number
- 1699184846
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2014 (12.037199851743 yrs)
- Last Updated
- Apr 5, 2017
- License
-
A58520002A (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15525 S PARK AVESUITE 114SOUTH HOLLAND, IL, 604731308Browse IL providers · Browse ZIP 60473
- Phone
- 7082639512
- Fax
- 7088251244
- Primary Specialty
-
Substance Use Disorder Rehabilitation Facility
261QR0405X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.