Bennis, Stacey Anne

Bennis, Stacey Anne is an individual health care provider with primary practice located at 2160 S 1St Ave Ste 1700 , Maywood IL 60153-3328. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Bennis, Stacey Anne can be contacted via phone (888) 584-7888.

Contact Information

Primary practice address
2160 S 1St Ave Ste 1700 Maywood IL 60153-3328
Phone: (888) 584-7888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 125-063353 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 036146120 Illinois

Profile Details

NPI number 1265870695
LBN Legal business name Bennis, Stacey Anne
Credentials M.D., CAQ-SM
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2013
Last updated Oct 25th, 2020 - about 5 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.

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