Individual provider · Type 1 NPI

Mara B. Stephenson, DO

Diagnostic Radiology Physician · Park Ridge, IL

NPI number 1093080103 Active

Practice location

1420 Renaissance Dr Ste 307
Park Ridge, IL 60068-1343

Fax (847) 803-1098

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204X036137792 (IL)
Diagnostic Radiology Physician Primary 2085R0202X036137792 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

6 other providers at this address

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About NPI 1093080103

Mara B. Stephenson, DO's National Provider Identifier is 1093080103, issued on Mar 21, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Park Ridge, IL. The record was last updated on Jan 23, 2025.