| Doctor Name: | CATHERINE LYNN STULLL |
| NPI Number: | 1053790345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP BC |
| License Number: | 209.011876 |
| Business Practice Address: | 5000 S 5th Ave Hines, IL - 601413030 |
| Business Phone Number: | 7082028387 |
| Business Fax Number: | 7082022259 |
| Mailing Address: | 5344 Carpenter St, DOWNERS GROVE |
| State: | IL |
| Postal Code: | 605154807 |
| Phone Number: | 7082028387 |
| Fax Number: | 7082022259 |
| NPI Enumeration Date: | 05/20/2015 |
| NPI Last Update Date: | 05/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209.011876 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |