Provider Demographics
NPI:1710172564
Name:STELLE-BETMAN, MARGARET KAY (RN APN)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:KAY
Last Name:STELLE-BETMAN
Suffix:
Gender:F
Credentials:RN APN
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:KAY
Other - Last Name:STELLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN APN
Mailing Address - Street 1:1505 TOMLIN DR
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-4882
Mailing Address - Country:US
Mailing Address - Phone:630-908-7445
Mailing Address - Fax:
Practice Address - Street 1:6039 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-5116
Practice Address - Country:US
Practice Address - Phone:773-745-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-283154163WE0003X
IL209.008667363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency