Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 016.005886 | IL |
Y | 222Z00000X | Podiatrist | 016.005886 | IL |
N | 213EP1101X | Primary Podiatric Medicine | PL60762393 | WA |
NPI | 1427419373 |
---|---|
Provider Name | Stephanie Oexeman |
First Address | Darien, IL 60561-5366 |
Second Address | Chicago, IL 60657 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2016 |
Last Update Date | 09/09/2021 |