Provider Demographics
NPI:1811467798
Name:STEC, ABIGAIL (APN)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:STEC
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 CROSSWIND DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-2268
Mailing Address - Country:US
Mailing Address - Phone:773-547-2229
Mailing Address - Fax:
Practice Address - Street 1:9131 W 151ST ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3202
Practice Address - Country:US
Practice Address - Phone:708-323-3376
Practice Address - Fax:708-390-0842
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.017547363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily