Individual
STEPHANIE ANZELC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 282-7000
Mailing address
PO BOX 75098, CHICAGO, IL 60675-5098
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209023505
IL
Other
Enumeration date
03/02/2021
Last updated
09/02/2021
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