Provider Demographics
NPI:1629068234
Name:DRESSLER, STEPHANIE A (PA C)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A
Last Name:DRESSLER
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:A
Other - Last Name:DRESSLER-SCHORR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1220 HOBSON RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-8139
Mailing Address - Country:US
Mailing Address - Phone:630-416-1950
Mailing Address - Fax:630-646-5610
Practice Address - Street 1:1220 HOBSON RD
Practice Address - Street 2:SUITE 104
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-8139
Practice Address - Country:US
Practice Address - Phone:630-416-1950
Practice Address - Fax:630-646-5610
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085001120207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P06149Medicare UPIN
IL970014917Medicare PIN
ILK36278Medicare PIN