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Individual

MRS. SAVANNAH MARIE STUCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
131 S DEARBORN ST STE 1025, CHICAGO, IL 60603-5517
(917) 261-4414
Mailing address
131 S DEARBORN ST, CHICAGO, IL 60603-5517
(312) 487-2141
(312) 577-0767

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
029477
NY
363A00000X
Physician Assistant
Primary
085008118
IL
363A00000X
Physician Assistant
PA17266
TX

Other

Enumeration date
10/11/2018
Last updated
07/01/2025
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