Provider Demographics
NPI:1528948643
Name:RANCICH, STEPHANIE (DNP, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:
Last Name:RANCICH
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:659 W RANDOLPH ST APT 708
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-2168
Mailing Address - Country:US
Mailing Address - Phone:312-286-2977
Mailing Address - Fax:
Practice Address - Street 1:3405 S HALSTED ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-6707
Practice Address - Country:US
Practice Address - Phone:312-500-3842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209033065363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily