Individual
DIANA MARIE AMIDEI-STEFANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 695-8143
(312) 695-4430
Mailing address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 695-8143
(312) 695-4430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014143
IL
363LF0000X
Family Nurse Practitioner
209014143
IL
Other
Enumeration date
04/05/2016
Last updated
09/22/2021
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