Individual
STEPHANIE JEAN BAKOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ANP-BC
Contact information
Practice address
201 E OGDEN AVE, SUITE 130, HINSDALE, IL 60521-3633
(630) 995-9905
(630) 995-9905
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 265-8338
(602) 265-8533
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209.010432
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
240748
AZ
Other
Enumeration date
07/13/2013
Last updated
06/22/2020
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