Stephen Aho, R.N.

Individual provider Active NPI Registered Nurse · Freeport, IL

NPI 1043503162 · NPPES record last updated May 23, 2011

Key facts

NPI
1043503162
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
041.368690 (IL)
Practice address
701 W Lamm Rd
Freeport, IL 61032-9630
Phone
(815) 233-6162
Fax
(815) 233-6167
NPI assigned
May 23, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.368690ILMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.368690 IL Yes

Addresses

Primary practice location

701 W Lamm Rd
Freeport, IL 61032-9630

Mailing address

701 W Lamm Rd
Freeport, IL 61032-9630
Phone (815) 233-6162

Other providers in Freeport, IL

All providers in Freeport, IL · Registered Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.