Individual
ROSEMARIE STEFANIW-GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
100 N ATKINSON RD STE 106, GRAYSLAKE, IL 60030-7805
(888) 211-8171
(847) 316-9797
Mailing address
1710 WALNUT CT, SPRING GROVE, IL 60081-8074
(847) 899-9399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
277.003947
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.003947
IL
Other
Enumeration date
08/15/2005
Last updated
06/25/2025
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