Stephanie Harris Applebaum, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Blue Island, IL
NPI 1063445286 · NPPES record last updated Oct 19, 2007
Key facts
- NPI
- 1063445286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Practice address
- 12935 Gregory St
Blue Island, IL 60406-2428 - Phone
- (708) 597-2000
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-076613 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Island Pathology LTD | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | IL | Yes |
Addresses
Primary practice location
12935 Gregory St
Blue Island, IL 60406-2428
Mailing address
1613 Cambridge Ave
Flossmoor, IL 60422-2127
Phone (708) 799-1471
Other providers in Blue Island, IL
- Ambient Concierge Home Health Care LLC
- American Drug Stores LLC
- Mark William Anderson
- Kristin Marie Andrews
- Robert Ethan Applebaum
- Arrow Defined Therapeutic Services, LLC
- Ascend
- Ronnie A Ata
- Summayya M Ather
- Aunt Martha'S Youth Service Center
All providers in Blue Island, IL · Anatomic Pathology & Clinical Pathology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.