Provider Demographics
NPI:1447625009
Name:STEIN LIEB, ALLISON BECCA (RN, BSN, MSN, WHNP-B)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:BECCA
Last Name:STEIN LIEB
Suffix:
Gender:F
Credentials:RN, BSN, MSN, WHNP-B
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:BECCA
Other - Last Name:STEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 N WESTMORELAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1658
Mailing Address - Country:US
Mailing Address - Phone:312-694-7337
Mailing Address - Fax:312-694-9116
Practice Address - Street 1:1000 N WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1658
Practice Address - Country:US
Practice Address - Phone:312-694-7337
Practice Address - Fax:312-694-9116
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013605363L00000X, 207VF0040X
IL209.013605041.394182363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryGroup - Single Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty