IndividualActive
Jacob Stoner, MBA, LAT, ATC
NPI 1366059289 · Respiratory/Developmental/Rehabilitative Specialist/Technologist · Chicago, IL
Provider details
- NPI number
- 1366059289
- Entity type
- Individual
- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MBA, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
Mailing address
1961 N Wilmot Ave
Chicago, IL 60647-4427
Registry dates
- Enumerated
- 2020-09-24
- Last updated
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.