Provider Demographics
NPI:1598037376
Name:HOPKINS, STEPHANIE KATHERINE
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:KATHERINE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:STEPHANIE
Other - Middle Name:KATHERINE
Other - Last Name:ATWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 N TATGE AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-4126
Mailing Address - Country:US
Mailing Address - Phone:847-571-7975
Mailing Address - Fax:
Practice Address - Street 1:225 N TATGE AVE
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-4126
Practice Address - Country:US
Practice Address - Phone:847-571-7975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency