Provider Demographics
NPI:1619172053
Name:ONE STOP NURSE STAFFING AGENCY, INC.
Entity Type:Organization
Organization Name:ONE STOP NURSE STAFFING AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE- PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:STILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-857-0720
Mailing Address - Street 1:3710 N JANSSEN AVE
Mailing Address - Street 2:#2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3702
Mailing Address - Country:US
Mailing Address - Phone:773-857-0720
Mailing Address - Fax:312-212-5956
Practice Address - Street 1:3710 N JANSSEN AVE
Practice Address - Street 2:#2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3702
Practice Address - Country:US
Practice Address - Phone:773-857-0720
Practice Address - Fax:312-212-5956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2007-N1062251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health