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Individual
SARA K STEFAN
Active
Individual
SARA K STEFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010639
IL
111N00000X
Chiropractor
Primary
4207-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636757
BLUE CROSS ID #
IL
01
—
K34049
MEDICARE #
IL
Enumeration date
10/12/2006
Last updated
02/14/2025
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