STACI GORSON FNP-BC NPI 1306274022

NPI Information

NPI: 1306274022
Provider Name: STACI GORSON, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1455 N MILWAUKEE AVE FL 2
CHICAGO, IL
ZIP 60622
Phone: (773) 435-9036
Get Directions

Staci Gorson, FNP-BC is a family nurse practitioner in Chicago, IL. Staci Gorson, FNP-BC NPI is 1306274022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1455 N MILWAUKEE AVE FL 2
CHICAGO, IL
ZIP 60622-015
Phone: (773) 435-9036

The enumeration date for this NPI number is 10/15/2013 and was last updated on 1/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209010800	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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