STEPHANIE ALLISON KLUG DNP CPNP-AC NPI 1942828306

NPI Information

NPI: 1942828306
Provider Name: STEPHANIE ALLISON KLUG, DNP, CPNP-AC
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

PECOS Registration: Yes

Address:
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
Phone: (708) 606-3253
Get Directions

Stephanie Allison Klug, DNP, CPNP-AC is a pediatrics and critical care nurse practitioner in Chicago, IL. Stephanie Allison Klug, DNP, CPNP-AC NPI is 1942828306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611-991
Phone: (708) 606-3253

The NPI 1942828306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2020 and was last updated on 12/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	209.021490	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202010582	OTHER		PEDIATRIC NURSING CERTIFICATION BOARD
2	209.021490	OTHER	ILLINOIS	STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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