Individual
JOSE STEEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
12251 S 80TH AVE STE 203, PALOS HEIGHTS, IL 60463-1290
(708) 226-2890
(708) 226-2390
Mailing address
12251 S 80TH AVE STE 203, PALOS HEIGHTS, IL 60463-1290
(708) 226-2890
(708) 226-2390
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041359029
IL
363L00000X
Nurse Practitioner
Primary
209025759
IL
363LA2100X
Acute Care Nurse Practitioner
209025759
IL
Other
Enumeration date
08/25/2022
Last updated
01/30/2023
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