Individual
STEPHANIE CIHLAR MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4440 W. 95TH STREET, OAK LAWN, IL 60453
(708) 684-5375
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-154168
IL
390200000X
Student in an Organized Health Care Education/Training Program
125071025
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125071025
—
IL
Enumeration date
06/13/2017
Last updated
07/21/2022
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