STACEY HOGROE NPI 1922777440

NPI Information

  • NPI: 1922777440
  • Provider Name: STACEY HOGROE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3330 W 177TH ST STE 1A
    HAZEL CREST, IL
    ZIP 60429
  • Phone: (708) 799-1100

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NPI Details

Stacey Hogroe is a family nurse practitioner in Hazel Crest, IL with 5 years of experience. Stacey Hogroe NPI is 1922777440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3330 W 177TH ST STE 1A
HAZEL CREST, IL
ZIP 60429-185
Phone: (708) 799-1100
Fax: (708) 799-8343

The NPI 1922777440 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/8/2021 and was last updated on 12/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WE0003XRegistered NurseEmergency041323572ILLINOISNo
2363LF0000XNurse PractitionerFamily2020115397ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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