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Dr. Stacey Ellen Ban, MD
Hematology & Oncology Physician in Skokie, Illinois
NPI 1154334159

Stacey Ellen Ban is a Hematology & Oncology Physician based in Skokie, IL and is specialized in Hematology & Oncology. Stacey Ellen Ban practices in Skokie, IL and has the professional credentials of MD. The NPI Number for Stacey Ellen Ban is 1154334159 and holds a License No. 036108968 (Illinois).

The current practice location address for Stacey Ellen Ban is 9631 Gross Point Rd, Skokie, IL and can be reached out via phone at 847-675-3900 and via fax at 847-675-3930.

Location: 9631 Gross Point Rd, Skokie, IL, 60076-1264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154334159
Provider Name
Stacey Ellen Ban
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
9631 Gross Point Rd, Skokie, IL, 60076-1264
Phone Number
847-675-3900
Fax Number
847-675-3930
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036108968 01 IL STATE LICENCE
institution
Provider Business Practice Location Address Details
Address
9631 Gross Point Rd
City
Skokie
State
Illinois
Zip
60076-1264
Phone Number
847-675-3900
Fax Number
847-675-3930
person
Provider Business Mailing Address Details
Address
9631 Gross Point Rd
City
Skokie
State
Illinois
Zip
60076-1264
Phone Number
847-675-3900
Fax Number
847-675-3930
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
036108968 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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