Stephanie Bollow
Stephanie Bollow is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Chicago, ILNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1740 W Taylor St, Chicago, IL 60612-7232 — (866) 600-2273
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 021.003194 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1639799901 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 16, 2020 |
| Last updated in NPPES | January 20, 2023 |
| Certification date | January 20, 2023 |
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