Individual
STEPHANIE N LEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
360 W HUBBARD ST, SUITE 3110, CHICAGO, IL 60654-5742
(646) 260-6443
Mailing address
360 W HUBBARD ST, SUITE 3110, CHICAGO, IL 60654-5742
(646) 260-6443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016743
NY
363AM0700X
Medical Physician Assistant
Primary
085004318
IL
363AS0400X
Surgical Physician Assistant
085004318
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03762278
—
NY
Enumeration date
04/17/2012
Last updated
03/24/2023
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