Stephanie Kazantsev
Dermatologist
2051 Plainfield Rd
Crest Hill
, Illinois 60403-1865
Stephanie Kazantsev
Dermatologist
2051 Plainfield Rd
Crest Hill
, Illinois 60403-1865
(920) 682-5810
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Stephanie Kazantsev
- 801 York St
- Manitowoc, WI
- Zip : 54220-4630
- Fax : (920) 682-5810
- Phone : (866) 630-9882
Second Address
- Stephanie Kazantsev
- 2051 Plainfield Rd
- Crest Hill, IL
- Zip : 60403-1865
- Fax : (815) 741-8660
- Phone : (815) 741-4343
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 036.148350 | IL |
National Provider Identifier
| NPI | 1023498714 |
|---|---|
| Provider Name | Stephanie Kazantsev |
| First Address | Manitowoc, WI 54220-4630 |
| Second Address | Crest Hill, IL 60403-1865 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2015 |
| Last Update Date | 19/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.