Individual
MS. STEPHANIE MICHELLE GILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
612 ROXBURY RD, ROCKFORD, IL 61107-5089
(815) 227-8300
Mailing address
612 ROXBURY RD, ROCKFORD, IL 61107-5089
(815) 227-8300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015318
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG1016086
AANP CERTIFICATION NUMBER
IL
Enumeration date
10/24/2016
Last updated
12/16/2016
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