Individual
STACEY WHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
908 N ELM ST, SUITE 210, HINSDALE, IL 60521-3635
(630) 654-1790
Mailing address
25070 NETWORK PL, CHICAGO, IL 60673-1250
(847) 585-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-004694
IL
Other
Enumeration date
07/24/2006
Last updated
07/19/2022
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