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Contact Information

STEPHANIE L BERTRAM, APRN
815 MARCHESANO DR
ROCKFORD, IL61102-3521
 Phone: 779-696-7910
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE L BERTRAM · (Female)

NPI Number 1700365137
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/07/2018
Last updated 02/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041315260
  • IL License # 209-018308
Hospital affiliation(s)
  • SWEDISH AMERICAN HOSPITAL - (Acute Care)
    1401 EAST STATE STREET
    ROCKFORD, IL 61104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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