| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHANIE BAUM | 1851975643 | 2021-05-08 |
Stephanie Baum is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851975643. Registration indicates Stephanie Baum is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Stephanie Baum |
| Practice Office Address | 3249 OAK PARK AVE BERWYN, IL US |
| Practice Office Telephone | 7087839100 |
| Mailing Address | 10505 COYNE STATION RD HUNTLEY, IL 601429777 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |