Stadnicki, Karen T

Stadnicki, Karen T is an individual health care provider with primary practice located at 14315 108Th Ave Ste 100 , Orland Park IL 60467-5700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stadnicki, Karen T can be contacted via phone (815) 300-7764.

Contact Information

Primary practice address
14315 108Th Ave Ste 100 Orland Park IL 60467-5700
Phone: (815) 300-7764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001824 Illinois

Profile Details

NPI number 1861419384
LBN Legal business name Stadnicki, Karen T
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861419384 NPPES
Illinois Other 085001824 LICENSE NUMBER

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