| Mr Gregory Brommett Stephenson, PA-C | |
|
4320 Fir St, Suite 210, East Chicago, IN 46312-3052 | |
| (219) 836-5464 | |
| (219) 228-4777 |
| Full Name | Mr Gregory Brommett Stephenson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4320 Fir St, East Chicago, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437363736 | NPI | - | NPPES |
| 200153400 | Other | IN | INDIANA WELFARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085-000611 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory Brommett Stephenson, PA-C 6852 S Oglesby Ave, #2, Chicago, IL 60649-1324 Ph: (773) 363-6985 | Mr Gregory Brommett Stephenson, PA-C 4320 Fir St, Suite 210, East Chicago, IN 46312-3052 Ph: (219) 836-5464 |
Latavia Lacefield, MENTAL HEALTH TECH Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-473-1350 Fax: 219-392-6998 | |
Michael Maddox, MENTAL HEALTH TECH Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-473-1350 Fax: 219-392-6998 | |
Filimon Ramos, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1313 W Chicago Ave, East Chicago, IN 46312 Phone: 219-397-1196 Fax: 219-392-4958 |