Individual
DR. MARA B STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1420 RENAISSANCE DR STE 307, PARK RIDGE, IL 60068-1343
(847) 803-1000
(847) 803-1098
Mailing address
1420 RENAISSANCE DR STE 307, PARK RIDGE, IL 60068-1343
(847) 803-1000
(847) 803-1098
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036137792
IL
2085R0204X
Vascular & Interventional Radiology Physician
036137792
IL
Other
Enumeration date
03/21/2012
Last updated
01/23/2025
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