Vanderjack, Staci

Vanderjack, Staci is an individual health care provider with primary practice located at 9555 S 52Nd Ave Ste F , Oak Lawn IL 60453-3054. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vanderjack, Staci can be contacted via phone (708) 422-5700.

Contact Information

Primary practice address
9555 S 52Nd Ave Ste F Oak Lawn IL 60453-3054
Phone: (708) 422-5700
Fax: (708) 422-8225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.136063 Illinois

Profile Details

NPI number 1427318666
LBN Legal business name Vanderjack, Staci
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated Dec 10th, 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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