Healthcare Provider Details

I. General information

NPI: 1427419373
Provider Name (Legal Business Name): STEPHANIE OEXEMAN DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2016
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W NORTH AVE STE 210
CHICAGO IL
60610-1042
US

IV. Provider business mailing address

711 W NORTH AVE STE 210
CHICAGO IL
60610-1042
US

V. Phone/Fax

Practice location:
  • Phone: 312-849-5838
  • Fax: 312-585-7028
Mailing address:
  • Phone: 314-753-9388
  • Fax: 312-585-7028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberPL60762393
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number016005886
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: