Ban, Stacey Ellen
Ban, Stacey Ellen is an individual health care provider with primary practice located at 9631 Gross Point Rd Ste 10, Skokie IL 60076-1264. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Ban, Stacey Ellen can be contacted via phone (847) 675-3900.Contact Information
Primary practice address
9631 Gross Point Rd Ste 10
Skokie IL 60076-1264
Phone: (847) 675-3900
Fax: (847) 675-3930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036108968 | Illinois |
Profile Details
| NPI number | 1154334159 |
|---|---|
| LBN Legal business name | Ban, Stacey Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Nov 24th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154334159 | NPPES |
| Illinois | Other | 036108968 | STATE LICENCE |
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