Stacey Anne Bennis
Physical Medicine & Rehabilitation Doctor Sports Medicine
2160 S 1st Ave Ste 1700
Maywood
, Illinois 60153-3328
Stacey Anne Bennis
Physical Medicine & Rehabilitation Doctor Sports Medicine
2160 S 1st Ave Ste 1700
Maywood
, Illinois 60153-3328
(888) 584-7888
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Sports Medicine
Languages spoken
- English
Location
First Address
- Stacey Anne Bennis
- 2160 S 1st Ave Ste 1700
- Maywood, IL
- Zip : 60153-3328
- Phone : (888) 584-7888
Second Address
- Stacey Anne Bennis
- 2160 S 1st Ave Ste 1700
- Maywood, IL
- Zip : 60153-3328
- Phone : (888) 584-7888
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FAQs
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Is Stacey Anne Bennis a sole practitioner?
Is Stacey Anne Bennis accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 125-063353 | IL |
| Y | 2081S0010X | Sports Medicine | 036146120 | IL |
| Y | 213ES0000X | Sports Medicine | 036146120 | IL |
National Provider Identifier
| NPI | 1265870695 |
|---|---|
| Provider Name | Stacey Anne Bennis |
| First Address | Maywood, IL 60153-3328 |
| Second Address | Maywood, IL 60153-3328 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2013 |
| Last Update Date | 25/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.