Stephen J Rathnow, MA LCPC
Psychiatry & Neurology, Psychiatry in Decatur, IL. Individual provider (NPI-1).
NPI number1497863583
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497863583
- Entity type
- Individual (NPI-1)
- Name
- Mr. Stephen J Rathnow
- Credential
- MA LCPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 180000396 | IL | Yes |
Practice location
1770 E Lake Shore DrSte 209
Decatur, IL 62521
Phone 217-428-0600 · Fax 217-423-6536
Mailing address
1770 E Lake Shore DrSte 209
Decatur, IL 62521
Phone 217-428-0600 · Fax 217-423-6536
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