Individual
KARLA E STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 N WESTMORELAND RD FL 3, LAKE FOREST, IL 60045-1658
(847) 535-8500
(847) 535-8488
Mailing address
307 GREENVIEW LN, LAKE VILLA, IL 60046-6460
(847) 322-3423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005063
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41968400
—
WI
Enumeration date
11/08/2005
Last updated
06/26/2019
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