Stephenson, Mara B

Stephenson, Mara B is an individual health care provider with primary practice located at 1420 Renaissance Dr Ste 307 , Park Ridge IL 60068-1343. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Stephenson, Mara B can be contacted via phone (847) 803-1000.

Contact Information

Primary practice address
1420 Renaissance Dr Ste 307 Park Ridge IL 60068-1343
Phone: (847) 803-1000
Fax: (847) 803-1098
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 125061963 Illinois
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 125061963 Illinois

Profile Details

NPI number 1093080103
LBN Legal business name Stephenson, Mara B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2012
Last updated Dec 20th, 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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