Individual provider · Type 1 NPI

Stacy Lynn Prskalo

Family Nurse Practitioner · Hazel Crest, IL

NPI number 1639633365 Active

Practice location

17800 Kedzie Ave
Hazel Crest, IL 60429-2029

Fax (708) 213-0144

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209018663 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1639633365

Stacy Lynn Prskalo's National Provider Identifier is 1639633365, issued on Jan 28, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hazel Crest, IL. The record was last updated on Feb 20, 2023.