Individual
STEFANIA LOREDANA BAILUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3901 RAINBOW BLVD # MS 1020, KANSAS CITY, KS 66160-3810
(913) 588-6005
(913) 588-3877
Mailing address
3901 RAINBOW BLVD, MS 1020, KANSAS CITY, KS 66160-8500
(913) 588-6005
(913) 588-3877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036137224
IL
208M00000X
Hospitalist Physician
Primary
036-137224
IL
208M00000X
Hospitalist Physician
036137224
IL
208M00000X
Hospitalist Physician
04-40497
KS
390200000X
Student in an Organized Health Care Education/Training Program
125060744
IL
Other
Enumeration date
07/12/2012
Last updated
12/11/2017
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