STEPHEN T PENEPACKER MD

COUNTY OF DUPAGE DEPARTMENT OF HEALTH

Dr STEPHEN T PENEPACKER MD is a male medical professional, specializing in Psychiatry. He graduated in 2003 from University Of Illinois At Chicago Health Science Center.

Contact

COUNTY OF DUPAGE DEPARTMENT OF HEALTH

1111 W LAKE ST
ADDISON
IL
601011101

Tel: 6306827400

STEPHEN T PENEPACKER MD Information

Npi 1336165125
Pac Id 5698719821
Professional Enrollment Id I20070219000335
Last Name PENEPACKER
First Name STEPHEN
Middle Name T
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 2003
Primary Specialty PSYCHIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COUNTY OF DUPAGE DEPARTMENT OF HEALTH
Group Practice Pac Id 4981695103
Number Of Group Practice Members 28
Line 1 Street Address 1111 W LAKE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ADDISON
State IL
Zip Code 601011101
Phone Number 6306827400
Hospital Affiliation Ccn 1 140200
Hospital Affiliation Lbn 1 ELMHURST MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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