Individual
JASON C STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041305001
IL
163W00000X
Registered Nurse
142768-30
WI
367500000X
Certified Registered Nurse Anesthetist
16499-33
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
209014801
IL
Other
Enumeration date
08/10/2016
Last updated
04/09/2025
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