IndividualActive
Lucas Stimach
NPI 1053797316 · Athletic Trainer · Forest View, IL
Provider details
- NPI number
- 1053797316
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4605 Wisconsin Ave
Forest View, IL 60402-4245
Phone: (708) 788-8319
Approximate (ZIP-level) locationGet directions
Mailing address
4605 Wisconsin Ave
Forest View, IL 60402-4245
Registry dates
- Enumerated
- 2015-08-09
- Last updated
- 2015-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.