Provider Demographics
NPI:1699304675
Name:SIZER, BENTLEY FISHER (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:BENTLEY
Middle Name:FISHER
Last Name:SIZER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 W FULLERTON AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-2635
Mailing Address - Country:US
Mailing Address - Phone:919-616-8777
Mailing Address - Fax:
Practice Address - Street 1:9700 GOLF ROAD
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016
Practice Address - Country:US
Practice Address - Phone:773-482-5800
Practice Address - Fax:773-767-9604
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.025109363LF0000X
NC5013049363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily