Provider Demographics
NPI:1134115611
Name:BICHL, STACY LYNNE (APN-CPNP)
Entity Type:Individual
Prefix:MS
First Name:STACY
Middle Name:LYNNE
Last Name:BICHL
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Gender:F
Credentials:APN-CPNP
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Mailing Address - Street 1:225 E CHICAGO AVE
Mailing Address - Street 2:LURIE CHILDRENS HOSPITAL OF CHICAGO
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-0000
Mailing Address - Country:US
Mailing Address - Phone:312-227-6263
Mailing Address - Fax:312-227-9420
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:#43
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-6263
Practice Address - Fax:312-227-9420
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209-004592363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics