Stacey Basilio Mendez, CRNA
NPI #1780195545 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1780195545
- Entity Type
- Individual
- Name
- Stacey Basilio Mendez, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Oct 19, 2017
- Last Updated
- Sep 26, 2024
Practice Location
- Address
- 1000 N WESTMORELAND RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1658
- Phone
- (847) 234-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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