Individual
DR. STEPHANIE M GABATHULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 PROFESSIONAL DR, ALTON, IL 62002-5068
(314) 996-4545
(314) 273-0140
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(314) 996-4545
(314) 273-0140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036146284
IL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
036146284
IL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
2023035677
MO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036146284
IL
208M00000X
Hospitalist Physician
036-146284
IL
Other
Enumeration date
06/23/2011
Last updated
04/08/2026
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