Stacey A. Bennis, M.D., CAQ-SM
Physical Medicine & Rehabilitation · Maywood, IL
UnclaimedM.D., CAQ-SMNPI 1265870695
- Primary taxonomy
- 2081S0010X
- Enumerated
- 2013-06-07
- Practice location
- Maywood, IL
- Last NPPES update
- 2020-10-25
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2029
- IL · Resident physician · TEMPORARY MEDICAL PERMITInactivethrough 2018
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.