MR. KENNETH A. STIFF ATC NPI 1255300117

NPI Information

NPI: 1255300117
Provider Name: MR. KENNETH A. STIFF, ATC
Classification: Specialist/Technologist - 225500000X
Entity Type: Individual
Address:
500 W ELK GROVE BLVD
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 718-4412
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MR. Kenneth A. Stiff, ATC is a specialist technologist in Elk Grove Village, IL. The provider is general classification identifying respiratory, developmental, rehabilitative or restorative services individuals who are trained on a specific piece of equipment or technical procedure. MR. Kenneth A. Stiff, ATC NPI is 1255300117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 W ELK GROVE BLVD
ELK GROVE VILLAGE, IL
ZIP 60007-272
Phone: (847) 718-4412
Fax: (847) 718-4417

The enumeration date for this NPI number is 3/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225500000X	Specialist/Technologist		96000134	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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