Stark, Nanci H

Stark, Nanci H is an individual health care provider with primary practice located at 705 S Kensington Ave , La Grange IL 60525-2708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Stark, Nanci H can be contacted via phone (708) 216-8554.

Contact Information

Primary practice address
705 S Kensington Ave La Grange IL 60525-2708
Phone: (708) 216-8554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 20901978 Illinois

Profile Details

NPI number 1629614136
LBN Legal business name Stark, Nanci H
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2019
Last updated Nov 19th, 2019 - about 6 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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