Stephen Westhafer
Stephen Westhafer is a Nurse Practitioner in Canton, Illinois. Qualified in 2024, 2 years ago. Practices with Graham Hospital Association, a 123-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 2
- Licensed in
- IL
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
180 S Main StCanton, IL 61520-2608
Phone: (309) 647-0201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209030043 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1093550436 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 27, 2024 |
| Last updated in NPPES | September 4, 2024 |
| Certification date | September 4, 2024 |
| Mailing address | 180 S Main St, Canton, IL 61520-2608 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Graham Hospital Association — 123 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Canton
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Kelsey Rae Cox
180 S Main St, Canton, IL 61520-2608 · (309) 647-0201