Provider Demographics
NPI:1669719233
Name:STANBEARY, NANCY E (DC,)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:STANBEARY
Suffix:
Gender:F
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 E 76TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-4313
Mailing Address - Country:US
Mailing Address - Phone:773-491-2192
Mailing Address - Fax:
Practice Address - Street 1:2725 E 76TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-4313
Practice Address - Country:US
Practice Address - Phone:773-491-2192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor