Stephanie Angela Fazlibasic

NPI Registration Record

Provider / Organization	NPI	Date Certified
STEPHANIE ANGELA FAZLIBASIC	1598247330	2018-08-29

Stephanie A Fazlibasic [F] graduated in 2017 and primarily specializes in Nurse Practitioner.

Stephanie Angela Fazlibasic is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598247330. Registration indicates Stephanie Angela Fazlibasic is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine (Family Medicine: Hospice and Palliative Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians) (Family Medicine, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

PECOS ID	547505174
Registration	PART-B:Y DME:Y HHA:Y PMD:Y
Entity Type	Individual
Provider Name	Stephanie Angela Fazlibasic
Practice Office Address	6400 SHAFER CT STE 300 ROSEMONT, IL US
Practice Office Telephone	8005708809
Mailing Address	6400 SHAFER CT STE 300 ROSEMONT, IL 600184929 US
Business Telephone	8005708809

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