Healthcare Provider Details

I. General information

NPI: 1396659041
Provider Name (Legal Business Name): STEPHANIA KAPETANEAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 E WOODFIELD RD STE 117
SCHAUMBURG IL
60173-6052
US

IV. Provider business mailing address

1444 MARSHVIEW CT
WEST CHICAGO IL
60185-5156
US

V. Phone/Fax

Practice location:
  • Phone: 847-648-4931
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.024503
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: