DR. MARA STEPHENSON, D.O.

Radiology - Diagnostic Radiology

Active Individual
NPI: 1093080103

Practice Address

1420 RENAISSANCE DR STE 307
Park Ridge, IL 60068

Phone: (847) 803-1000

Specialties

Specialty Code Primary License
Radiology - Vascular & Interventional Radiology 2085R0204X No 036137792 (IL)
Radiology - Diagnostic Radiology 2085R0202X Yes 036137792 (IL)

Frequently Asked Questions

NPI 1093080103 is the National Provider Identifier for DR. MARA STEPHENSON, D.O., a Radiology - Diagnostic Radiology provider located in Park Ridge, IL. This NPI was enumerated on March 21, 2012.
DR. MARA STEPHENSON, D.O. practices at 1420 RENAISSANCE DR STE 307, Park Ridge, IL 60068.

Quick Facts

NPI
1093080103
Type
Individual
Enumerated
Mar 21, 2012
Last Updated
Jan 23, 2025

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