Stech, Mary

Stech, Mary is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Stech, Mary can be contacted via phone (217) 366-1212.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3909
Phone: (217) 366-1212
Fax: (217) 366-6106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209004442 Illinois

Profile Details

NPI number 1902849789
LBN Legal business name Stech, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Nov 17th, 2014 - about 10 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 1902849789 NPPES
Illinois Other P00403926 RAILROAD MEDICARE
Illinois Other 433990 RAILROAD MEDICARE

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