Individual
STEPHAN KIENZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 926-2280
(312) 926-2762
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036170586
IL
207L00000X
Anesthesiology Physician
Primary
125.077807
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2017
Last updated
05/20/2026
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