Individual
KERSTIN M STENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 W HARRISON ST STE 550, CHICAGO, IL 60612-4861
(312) 942-0392
Mailing address
1611 W HARRISON ST STE 550, CHICAGO, IL 60612-4861
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036082284
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082284
—
IL
Enumeration date
12/22/2006
Last updated
08/11/2014
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