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Stephanie Summers
NPI 1972779361 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1594 Kenilworth Dr
Calumet City, IL 60409 - Phone
- (773) 425-8243
- Fax
- (773) 667-9622
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois