Individual
KATIE MARIE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-1442
Mailing address
900 S CLARK ST APT 2209, CHICAGO, IL 60605-3708
(773) 203-5783
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.016206
IL
Other
Enumeration date
10/18/2017
Last updated
12/14/2021
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