Stephanie Marie Luebbe
Individual provider Active NPI Athletic Trainer · Hawthorn Woods, IL
NPI 1982118576 · NPPES record last updated Nov 19, 2017
Key facts
- NPI
- 1982118576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 30 Seneca Ave W
Hawthorn Woods, IL 60047 - Phone
- (847) 707-9517
- NPI assigned
- Nov 19, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
30 Seneca Ave W
Hawthorn Woods, IL 60047
Mailing address
30 Seneca Ave W
Hawthorn Woods, IL 60047-1919
Other providers in Hawthorn Woods, IL
- Regina Johnson
- Joanna Johnston
- Priyanka D Kaushal
- Vitaliya Kholodynska
- Nathaniel Ghunho Lee
- Bradley E Magee
- MC ABA Il LLC
- Mindful Souls LLC
- Northwest Senior Care LLC
- Paramount Counseling Services, PLLC
All providers in Hawthorn Woods, IL · Athletic Trainer in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2017. 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.