Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
STACEY ANNE BENNIS
Active
Individual
STACEY ANNE BENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., CAQ-SM
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
125-063353
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036146120
IL
Other
Enumeration date
06/07/2013
Last updated
10/25/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up