Stephen, Anu J

Stephen, Anu J is an sole proprietor health care provider with primary practice located at 12251 S 80Th Ave , Palos Heights IL 60463-1256. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stephen, Anu J can be contacted via phone (630) 257-1111.

Contact Information

Primary practice address
12251 S 80Th Ave Palos Heights IL 60463-1256
Phone: (630) 257-1111
Fax: (630) 257-1115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209021186 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209021186 Illinois

Profile Details

NPI number 1558972364
LBN Legal business name Stephen, Anu J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2020
Last updated Aug 28th, 2020 - about 5 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 1558972364 NPPES
Illinois MEDICAID 332023626001

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