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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558459099 | NPPES |
| Illinois | MEDICAID | PENDING |
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