Individual
STEPHANIE CALABRESE RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTC, SA-C
Contact information
Practice address
550 W OGDEN AVE STE 100, HINSDALE, IL 60521
(630) 323-6116
Mailing address
2115 PERIWINKLE LN, NAPERVILLE, IL 60540-9221
(847) 715-8815
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096003353
IL
246ZC0007X
Surgical Assistant
Primary
238000602
IL
246ZX2200X
Orthopedic Assistant
0127115053
IL
Other
Enumeration date
02/27/2015
Last updated
08/27/2018
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