person
Mrs. Stephanie H Goede, PA-C
Surgical Physician Assistant in Crystal Lake, Illinois
NPI 1548519986

Stephanie H Goede is a Surgical Physician Assistant based in Crystal Lake, IL and is specialized in Surgical. Stephanie H Goede practices in Crystal Lake, IL and has the professional credentials of PA-C. The NPI Number for Stephanie H Goede is 1548519986 and holds a License No. 085.004468 (Illinois).

The current practice location address for Stephanie H Goede is 420 N Il Route 31, Crystal Lake, IL and can be reached out via phone at 815-356-5200 and via fax at 815-356-5262.

Location: 420 N Il Route 31, Crystal Lake, IL, 60012-3709
person
Provider Profile Details
NPI Number
1548519986
Provider Name
Stephanie H Goede
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
420 N Il Route 31, Crystal Lake, IL, 60012-3709
Phone Number
815-356-5200
Fax Number
815-356-5262
Provider Enumeration Date
08/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1108763 01 IL NCCPA
085004468 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
420 N Il Route 31
City
State
Zip
60012
Phone Number
815-356-5200
Fax Number
815-356-5262
person
Provider Business Mailing Address Details
Address
420 N Il Route 31
City
State
Zip
60012
Phone Number
815-356-5200
Fax Number
815-356-5262
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085.004468 (Illinois)
Definition
Definition to come...
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