Individual
STEFANNI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 947-8800
Mailing address
365 N HALSTED ST APT 1810, CHICAGO, IL 60661-1376
(269) 760-1975
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
041423934
IL
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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