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Individual

STEPHANIE CONN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1875 DEMPSTER ST STE 245, PARK RIDGE, IL 60068-1126
(510) 585-7546
Mailing address
1875 DEMPSTER ST STE 245, PARK RIDGE, IL 60068-1126
(510) 585-7546

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.397734
IL
163W00000X
Registered Nurse
RN9S089711
CA
367A00000X
Advanced Practice Midwife
Primary
209.015652
IL
367A00000X
Advanced Practice Midwife
235837
CA

Other

Enumeration date
10/25/2019
Last updated
10/25/2019
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