Stakenas, Steven

Stakenas, Steven is an individual health care provider with primary practice located at 1331 W 75Th St Ste 101 , Naperville IL 60540-9311. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Stakenas, Steven can be contacted via phone (630) 646-7000.

Contact Information

Primary practice address
1331 W 75Th St Ste 101 Naperville IL 60540-9311
Phone: (630) 646-7000
Fax: (305) 481-5636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-006058 Illinois

Profile Details

NPI number 1558459099
LBN Legal business name Stakenas, Steven
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jan 25th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558459099 NPPES
Illinois MEDICAID PENDING

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