Davis, Stacey

Davis, Stacey is an individual health care provider with primary practice located at 1010 Lake St Ste 100 , Oak Park IL 60301-1106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Davis, Stacey can be contacted via phone (708) 790-5200.

Contact Information

Primary practice address
1010 Lake St Ste 100 Oak Park IL 60301-1106
Phone: (708) 790-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.022618 Illinois

Profile Details

NPI number 1508454448
LBN Legal business name Davis, Stacey
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2021
Last updated Mar 12th, 2021 - about 5 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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