Individual
ALEXIS STEFANIAK-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.079375
IL
207W00000X
Ophthalmology Physician
Primary
036.180649
IL
207W00000X
Ophthalmology Physician
Primary
125.079375
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.079375
IL
Other
Enumeration date
03/22/2022
Last updated
06/23/2026
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