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Individual

STACY BUNTE

Active
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Individual

STACY BUNTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209005948
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041334433
IL
01
0841504038
BLUE CROSS
IL
01
104409
HEALTHLINK GROUP #
IL
01
371115308
CHAMPUS/TRICARE
IL
01
735721
HEALTHLINK INDIVIDUAL #
IL
Enumeration date
04/26/2006
Last updated
12/29/2021
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