Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 036150160 | IL |
N | 2086S0102X | Surgical Critical Care | A120814 | CA |
Y | 2086S0127X | Trauma Surgeon | 036150160 | IL |
N | 2086S0127X | Trauma Surgeon | A120814 | CA |
NPI | 1124253935 |
---|---|
Provider Name | Anne M Stey |
First Address | Chicago, IL 60611-4546 |
Second Address | Chicago, IL 60611-2987 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2009 |
Last Update Date | 16/10/2019 |