Klug, Stephanie Allison

Klug, Stephanie Allison is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2991. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Klug, Stephanie Allison can be contacted via phone (708) 606-3253.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611-2991
Phone: (708) 606-3253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 209.021490 Illinois

Profile Details

NPI number 1942828306
LBN Legal business name Klug, Stephanie Allison
Credentials DNP, CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2020
Last updated Dec 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942828306 NPPES
Illinois Other 209.021490 STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
Illinois Other 202010582 STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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