Individual
MS. STEPHANIE CAROL TIWARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
840 S WOOD ST FL 9, CHICAGO, IL 60612-4325
(312) 966-6730
(312) 413-2948
Mailing address
840 S WOOD ST FL 9, CHICAGO, IL 60612-4325
(312) 996-6730
(312) 413-2948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.016388
IL
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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