Individual
MS. STEPHANIE ANN NEWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-A
Contact information
Practice address
541 W BRIAR PL, #503, CHICAGO, IL 60657-4662
(312) 405-8607
Mailing address
541 W BRIAR PL, #503, CHICAGO, IL 60657-4662
(312) 405-8607
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.000477
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147.000477
STATE OF ILLINOIS LICENSE NUMBER
IL
Enumeration date
05/29/2014
Last updated
05/29/2014
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