Individual
STEPHANIE JANE CLAPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 234-5600
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(312) 695-0665
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.019422
IL
363L00000X
Nurse Practitioner
4704285025
MI
363LG0600X
Gerontology Nurse Practitioner
4704285025
MI
Other
Enumeration date
07/13/2018
Last updated
06/15/2019
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