Individual
STEPHANIE LEOPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6850
(773) 257-6050
Mailing address
360 W ILLINOIS ST, APT 5F, CHICAGO, IL 60654-3658
(217) 417-5963
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.009194
IL
Other
Enumeration date
12/19/2011
Last updated
09/26/2012
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