Prskalo, Stacy Lynn

Prskalo, Stacy Lynn is an individual health care provider with primary practice located at 17800 Kedzie Ave , Hazel Crest IL 60429-2029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Prskalo, Stacy Lynn can be contacted via phone (708) 213-4200.

Contact Information

Primary practice address
17800 Kedzie Ave Hazel Crest IL 60429-2029
Fax: (708) 213-0144
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209018663 Illinois

Profile Details

NPI number 1639633365
LBN Legal business name Prskalo, Stacy Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2019
Last updated Feb 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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