MEDICARE: STEPHANIE CARLILE KAUFMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1447199948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE CARLILE KAUFMAN

Provider Business Mailing Address
First Line	:	1350 E TOUHY AVE STE 145W
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-3303
Country	:	US
Telephone Number	:	224-470-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 E TOUHY AVE STE 145W
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-3303
Country	:	US
Telephone Number	:	224-470-1111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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