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Individual

SUZANNE STEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2202 HARLEM ROAD, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 654-5342
Mailing address
2202 HARLEM ROAD, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 654-5342

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209004671
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209-006499
IL
367500000X
Certified Registered Nurse Anesthetist
28231827A
IN
367500000X
Certified Registered Nurse Anesthetist
D177606
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04532206
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/19/2005
Last updated
06/03/2025
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