Healthcare Provider Details

I. General information

NPI: 1255808861
Provider Name (Legal Business Name): STACY ANNA SILVERMAN APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STACY ANNA LERNER APRN, FNP-C

II. Dates (important events)

Enumeration Date: 11/01/2018
Last Update Date: 10/09/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 WAUKEGUN ROAD #1210
GLENVIEW IL
60025
US

IV. Provider business mailing address

1900 STRENGER LANE
RIVERWOODS IL
60015
US

V. Phone/Fax

Practice location:
  • Phone: 224-300-7668
  • Fax:
Mailing address:
  • Phone: 314-265-7999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209018400
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: