Individual
ASHA STANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-7100
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125078919
IL
Other
Enumeration date
04/11/2021
Last updated
05/16/2025
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