Individual
STACEY N. PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP
Contact information
Practice address
1786 MOON LAKE BLVD, SUITE 104, HOFFMAN ESTATES, IL 60169-5029
(847) 755-8090
(847) 843-7393
Mailing address
1786 MOON LAKE BLVD, SUITE 104, HOFFMAN ESTATES, IL 60169-5029
(847) 755-8090
(847) 843-7393
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209008524
IL
Other
Enumeration date
12/06/2010
Last updated
07/18/2016
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