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NPI Code Detail

MEDICARE: DIANA MARIE STEFANIK APN

MEDICARE: DIANA MARIE STEFANIK APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209014143IL
2363L00000XNurse Practitioner209014143IL

General Provider Information

NPI Number : 1881057917
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA MARIE STEFANIK APN
Provider Business Mailing Address
First Line : 951 ESSINGTON RD
Second Line :
City : JOLIET
State : IL
Zip : 60435-8439
Country : US
Telephone Number : 630-323-6116
Fax Number :
Provider Business Practice Location Address
First Line : 951 ESSINGTON RD
Second Line :
City : JOLIET
State : IL
Zip : 60435-8439
Country : US
Telephone Number : 630-323-6116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2016
Last Update Date : 06/15/2026

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Directions to “ DIANA MARIE STEFANIK APN” Practice Location

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