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Stephanie Lynn Crane

Internal Medicine

Allopathic & Osteopathic Physicians

1700 W Van Buren St, Suite 500, Chicago, IL 60612-3218

PECOS Enrollment

This provider is enrolled in PECOS as STEPHANIE CRANE.

Based on the most recent information from CMS, provider Stephanie Lynn Crane is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023169349
Provider Type
Individual
Full Name
Crane, Stephanie Lynn
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
1/15/2007
Last Updated
2/12/2008

Contact Information

Practice Location

1700 W Van Buren St, Suite 500, Chicago, IL 60612-3218

(312) 563-2875

(312) 942-3012

Mailing Location

1700 W Van Buren St, Suite 500, Chicago, IL 60612-3218

(312) 563-2875

(312) 942-3012

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer Illinois

Stephanie Lynn Crane

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mautong Vasquez, Hans Willy

Djordjevic, Dragan

Kehoe, William R

Garg, Deepshikha

Berroya, Asuncion C

Thomas, Tin Tin

Arikawa, Kinji

Nauman, Ahmad

Earvolino, Jennifer

Maciata, Wojciech Stanislaw