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Contact Information

STEPHANIE A FAZLIBASIC
6400 SHAFER CT STE 300
ROSEMONT, IL60018-4929
 Phone: 800-570-8809
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for STEPHANIE A FAZLIBASIC · (Female)

NPI Number 1598247330
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2018
Last updated 06/12/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209.017770
  • IL License # 277002965
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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