Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 209013605 | IL |
Y | 363L00000X | Nurse Practitioner | 209013605 | IL |
N | 363LW0102X | Nurse Practitioner - Women's Health | 209.013605041.394182 | IL |
NPI | 1447625009 |
---|---|
Provider Name | Allison Becca Stein |
First Address | Chicago, IL 60611-4546 |
Second Address | Lake Forest, IL 60045-1658 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2015 |
Last Update Date | 04/06/2019 |