Individual
KATHLEEN STEPANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(888) 352-7874
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041497783
IL
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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