Provider Demographics
NPI:1033079371
Name:STEHLIK, MARYBETH (LAC, DIPL OM)
Entity type:Individual
Prefix:
First Name:MARYBETH
Middle Name:
Last Name:STEHLIK
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3577 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-3957
Mailing Address - Country:US
Mailing Address - Phone:630-747-4734
Mailing Address - Fax:
Practice Address - Street 1:650 N DEARBORN ST STE 800
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-3874
Practice Address - Country:US
Practice Address - Phone:630-747-4734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.011915171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist