Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 20A9638 | CA |
NPI | 1003089707 |
---|---|
Provider Name | Dr. Anna Mae Stegemann |
First Address | Naperville, IL 60563-8450 |
Second Address | Libertyville, IL 60048-3204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 27/12/2021 |