Individual
STACEY ANNE BENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., CAQ-SM
Contact information
Practice address
2160 S 1ST AVE STE 1700, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE STE 1700, MAYWOOD, IL 60153-3328
(888) 584-7888
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
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