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MR. STEWART M. BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3370
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3370

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-77844-122
KS
363LF0000X
Family Nurse Practitioner
209020355
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209020355
IL

Other

Enumeration date
09/14/2017
Last updated
07/21/2020
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