Stefanie Bryant

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043126366 Issued in IL

Practice address

1849 S Cicero Ave
Cicero, IL 60804-2544

Phone

(708) 656-9500

NPI assigned

Jan 21, 2022

Last updated

Jan 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chicago Treatment & Counseling Center #3

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cicero, IL
  • NPI 1376079046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1073265047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244660",
            "telephone_number": "773-746-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 S CICERO AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042544",
            "telephone_number": "708-656-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "STEFANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043126366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaritza Borjon, ATC
• Braces Town PC
• Erica Branch, LPN
• Yvette Anais Bribiesca, FNP-BC
• Frances Brousil, PTA
• Levid Bueno
• Joy Julie Anne Bueta, MHS CCC-SLP
• Brianna Butler, LCSW
• Maryann Bzdon, CADC
• Erlinda Cabana, MD

• Licensed Practical Nurse in Cicero, IL
• Providers in Cicero, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.