Individual
NATALIIA STESHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN EXTENDER
Contact information
Practice address
750 E TERRA COTTA AVE STE C, CRYSTAL LAKE, IL 60014-3621
(847) 639-5800
Mailing address
750 E TERRA COTTA AVE STE C, CRYSTAL LAKE, IL 60014-3621
(847) 639-5800
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000631
IL
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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