Healthcare Provider Details

I. General information

NPI: 1215240981
Provider Name (Legal Business Name): STEFANIE A DROZD APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEFANIE A BLUEMER APN

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 S WHITE ST SUITE 104
FRANKFORT IL
60423-4009
US

IV. Provider business mailing address

11 S WHITE ST SUITE 104
FRANKFORT IL
60423-4009
US

V. Phone/Fax

Practice location:
  • Phone: 877-363-3772
  • Fax: 708-722-8386
Mailing address:
  • Phone: 877-363-3772
  • Fax: 708-722-8386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209008231
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: