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Jerry Lincoln Stephen, DO
Student in an Organized Health Care Education/Training Program in Olympia Fields, Illinois
NPI 1154026607

Jerry Lincoln Stephen is a Student in an Organized Health Care Education/Training Program based in Indianapolis, IL. Jerry Lincoln Stephen practices in Olympia Fields, IL and has the professional credentials of DO. The NPI Number for Jerry Lincoln Stephen is 1154026607 and holds a License No. (Illinois).

The current practice location address for Jerry Lincoln Stephen is 20201 Crawford Ave, Olympia Fields, IL and can be reached out via phone at 708-747-4000.

Location: 20201 Crawford Ave, Olympia Fields, IL, 46205-4341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154026607
Provider Name
Jerry Lincoln Stephen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
20201 Crawford Ave, Olympia Fields, IL, 46205-4341
Phone Number
708-747-4000
Fax Number
Provider Enumeration Date
04/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20201 Crawford Ave
City
Olympia Fields
State
Illinois
Zip
60461-1010
Phone Number
708-747-4000
Fax Number
person
Provider Business Mailing Address Details
Address
20201 Crawford Ave
City
Olympia Fields
State
Illinois
Zip
60461-1010
Phone Number
708-747-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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