Individual
STEPHANIE Y JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-0152
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036177064
IL
2085R0202X
Diagnostic Radiology Physician
25MA10598400
NJ
2085R0202X
Diagnostic Radiology Physician
D93597
MD
2085R0202X
Diagnostic Radiology Physician
MD463140
PA
Other
Enumeration date
06/26/2013
Last updated
09/16/2025
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