Individual
STEPHANIE KAZANTSEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2051 PLAINFIELD RD, CREST HILL, IL 60403-1865
(815) 741-4343
(815) 741-8660
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(866) 630-9882
(920) 682-5810
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.148350
IL
Other
Enumeration date
06/08/2015
Last updated
02/19/2021
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