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1417431248 NPI number — STEPHANIE VICTORIA MATTHIES APRN

NPI Number: 1417431248
Health Care Provider/Practitioner: STEPHANIE VICTORIA MATTHIES APRN

Information about “1417431248” NPI (STEPHANIE VICTORIA MATTHIES APRN) exists in 1417431248 in HTML format HTML  |  1417431248 in plain Text format TXT  |  1417431248 in PDF (Portable Document Format) PDF  |  1417431248 in an XML format XML  formats.

NPI Number : 1417431248 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417431248",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MATTHIES",
    "FirstName": "STEPHANIE",
    "MiddleName": "VICTORIA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1440 PARRISH CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DOWNERS GROVE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60515-1353",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-227-4812",
    "MailingAddressFaxNumber": "312-227-9372",
    "FirstLinePracticeLocationAddress": "225 E CHICAGO AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60611-2991",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "312-227-4794",
    "PracticeLocationAddressFaxNumber": "312-227-9376",
    "EnumerationDate": "09/18/2018",
    "LastUpdateDate": "10/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "209016660",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "041432646",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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