Individual
STEPHANIE WASCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7343 LAKE ST, RIVER FOREST, IL 60305-2206
(708) 231-8908
Mailing address
7343 LAKE ST, RIVER FOREST, IL 60305-2206
(708) 231-8908
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
209.024370
IL
363L00000X
Nurse Practitioner
Primary
209.024370
IL
Other
Enumeration date
11/23/2021
Last updated
02/28/2023
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