Roline, Stacey K
Roline, Stacey K is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Roline, Stacey K can be contacted via phone (847) 723-2210.Contact Information
Primary practice address
1775 Dempster St
Park Ridge IL 60068-1143
Phone: (847) 723-2210
Fax: (847) 692-7915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085.004160 | Illinois |
Profile Details
| NPI number | 1003187469 |
|---|---|
| LBN Legal business name | Roline, Stacey K |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2012 |
| Last updated | Jan 17th, 2012 - about 13 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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