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Individual

MRS. STEPHANIE MARIE EDIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PEL-CSN

Contact information

Practice address
601 WILLOW ST, FRANKFORT, IL 60423-1140
(815) 806-4600
(815) 806-4601
Mailing address
2916 SHEFFIELD DR, NEW LENOX, IL 60451-1577
(708) 846-6807

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.410123
IL
163WS0200X
School Registered Nurse
Primary
2534054
IL

Other

Enumeration date
10/06/2021
Last updated
10/06/2021
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