Organization
MAINSTAY CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER JAROSZ (OFFICER)
(224) 717-0447
Entity
Organization
Contact information
Practice address
333 PETERSON RD STE 240, LIBERTYVILLE, IL 60048-1085
(224) 864-2124
(224) 864-2178
Mailing address
17942 W POND RIDGE CIR, GURNEE, IL 60031-4534
(224) 717-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009332
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011015746
ANCC
IL
05
—
338829946001
—
IL
01
—
363L00000X
TAXONOMY
IL
Enumeration date
03/16/2018
Last updated
08/29/2025
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