Individual
ELIZABETH MARIE STAHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 542-2000
Mailing address
5020 S LAKE SHORE DR, APT 2707, CHICAGO, IL 60615-3253
(402) 321-5733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005027
IL
Other
Enumeration date
05/07/2014
Last updated
11/04/2016
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