Individual
DR. STEPHANIE ANN HERATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 CENTRAL ST STE 700, EVANSTON, IL 60201-1769
(847) 869-3300
Mailing address
2801 LAKESIDE DR STE 209, BANNOCKBURN, IL 60015-1271
(847) 562-1410
(847) 562-0830
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.119864
IL
Other
Enumeration date
07/10/2008
Last updated
01/24/2020
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