Baum, Stacy A

Baum, Stacy A is an individual health care provider with primary practice located at 552 Randall Rd , South Elgin IL 60177. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Baum, Stacy A can be contacted via phone (630) 315-6700.

Contact Information

Primary practice address
552 Randall Rd South Elgin IL 60177
Phone: (630) 315-6700
Fax: (630) 315-6699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.003350 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003350 Illinois

Profile Details

NPI number 1386899458
LBN Legal business name Baum, Stacy A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2008
Last updated Jun 18th, 2018 - about 8 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 1386899458 NPPES
Illinois Other F400473831 INDIVIDUAL MEDICARE
Illinois Other 920540 INDIVIDUAL MEDICARE

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