Individual
MRS. STEFANI JANE BEVERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
912 N HENRIETTA ST, EFFINGHAM, IL 62401-1788
(217) 342-3337
(217) 347-3328
Mailing address
PO BOX 784, EFFINGHAM, IL 62401-0784
(217) 342-3337
(217) 347-3328
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.002319
IL
363A00000X
Physician Assistant
Primary
085005584
IL
Other
Enumeration date
03/05/2007
Last updated
09/25/2015
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