DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. STEPHANIE H GOEDE, PA-C

Active

MRS. STEPHANIE H GOEDE, PA-C is a Surgical Physician Assistant healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1548519986 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · CRYSTAL LAKE, IL

Registration Details

NPI Number
1548519986
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2012 (13.938565963 yrs)
Last Updated
Jun 7, 2018
License
085.004468 (IL)

Practice Information

Address
420 N IL ROUTE 31
CRYSTAL LAKE, IL, 60012
Browse IL providers · Browse ZIP 60012
Phone
8153565200
Fax
8153565262
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in CRYSTAL LAKE, IL

Name Credential NPI
MR. JEREMY A HOUTAKKER P.A. 1902092109
CHRISTOPHER L BALLINGER PA-C 1942747480
ALEXANDER J HEMBREY PA-C 1497295125
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.