Individual
KATHLEEN R. STEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
219 N HAMMES AVE, JOLIET, IL 60435-8114
(815) 741-0095
Mailing address
5511 N OSCEOLA AVE, CHICAGO, IL 60656-1750
(773) 631-6685
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022240950
BCBS
IL
Enumeration date
03/07/2007
Last updated
07/08/2007
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