DOUGLAS S STEVENS

HOMER GLEN, IL
NPI1881673085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  IL085-001302)
Additional Taxonomies363A00000X Physician Assistant
(Licence: IL  085001302)
Enumeration Date2006-01-16
Last Update Date2016-11-07
Business Address
Mr. DOUGLAS S STEVENS PA-C
12701 W 143RD ST SUITE 200
HOMER GLEN, IL 60491-7715
Phone number: 877-694-7722
Mailing Address
Mr. DOUGLAS S STEVENS PA-C
12701 W 143RD ST SUITE 200
HOMER GLEN, IL 60491-7715
Phone number: 877-694-7722
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