Individual
EMILY N STOUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1611 W HARRISON ST, SUITE 400, CHICAGO, IL 60612-4861
(312) 243-4244
(312) 942-1517
Mailing address
1611 W HARRISON ST, SUITE 300, CHICAGO, IL 60612-4861
(312) 243-4244
(312) 942-1517
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.008183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633878
BCBS IL
IL
01
—
202735
PTAN LOCALITY 15
IL
01
—
215827
PTAN LOCALITY 99
IL
01
—
604530
PTAN LOCALITY 16
IL
Enumeration date
08/25/2010
Last updated
10/24/2012
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