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1659787893
STEPHANIE MARIE KANITSCH
SPRINGFIELD, IL
NPI
1659787893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 036146735)
Enumeration Date
2014-07-09
Last Update Date
2023-10-06
Business Address
DR. STEPHANIE MARIE KANITSCH MD
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
Phone number: 217-528-7541
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Mailing Address
DR. STEPHANIE MARIE KANITSCH MD
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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