Mendez, Stacey Basilio

Mendez, Stacey Basilio is an individual health care provider with primary practice located at 1000 N Westmoreland Rd , Lake Forest IL 60045-1658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mendez, Stacey Basilio can be contacted via phone (847) 234-5600.

Contact Information

Primary practice address
1000 N Westmoreland Rd Lake Forest IL 60045-1658
Phone: (847) 234-5600
Fax: (847) 535-7884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209017142 Illinois

Profile Details

NPI number 1780195545
LBN Legal business name Mendez, Stacey Basilio
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2017
Last updated Sep 20th, 2023 - about last year

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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