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Stacy Matute
NPI 1851225189 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2722 Varonen Ave
Waukegan, IL 60087 - Phone
- (224) 772-4963
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 103K00000X
106E00000X - Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois