Individual
STEPHANIE M POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 W HARRISON ST, CHICAGO, IL 60612-3705
(312) 666-0500
Mailing address
2121 W HARRISON ST, CHICAGO, IL 60612-3705
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301098790
MI
Other
Enumeration date
01/29/2013
Last updated
06/23/2015
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