Stephanie Ann Gorham II, MD

NPI #1023239258 in Belvidere, Illinois

Provider Information

NPI Number: 1023239258
Entity Type: Individual
Name: Stephanie Ann Gorham II, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 2, 2007
Last Updated: Feb 19, 2021

Practice Location

Address: 1700 HENRY LUCKOW LN
City: Belvidere
State: Illinois
ZIP Code: 61008
Phone: (779) 696-8650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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