Individual
STACY ANNA LERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
259 E ERIE ST STE 1700, CHICAGO, IL 60611-3111
(312) 695-2500
Mailing address
1512 N SEDGWICK ST APT 1, CHICAGO, IL 60610-8735
(314) 265-7999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018400
IL
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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