Healthcare Provider Details

I. General information

NPI: 1245508522
Provider Name (Legal Business Name): LORI K STONE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2011
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 E. HURON FEINBERG 5-704
CHICAGO IL
60611
US

IV. Provider business mailing address

680 N LAKE SHORE DR STE 1000
CHICAGO IL
60611-8709
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-0665
  • Fax: 312-695-0050
Mailing address:
  • Phone: 312-695-0665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209009272
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: