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Individual
STACEY GUSAK
Active
Individual
STACEY GUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000
IL
363LF0000X
Family Nurse Practitioner
Primary
209024281
IL
363LF0000X
Family Nurse Practitioner
71017981A
IN
Other
Enumeration date
04/06/2021
Last updated
07/16/2026
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