Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stacy Lynn Prskalo

Individual provider Family Nurse Practitioner · NPI 1639633365

Mrs. Stacy Lynn Prskalo is a Nurse Practitioner in Hazel Crest, Illinois. Qualified in 2018, 8 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone: (708) 213-4200
Fax: (708) 213-0144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209018663 (IL)

Record details

NPI number1639633365
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2019
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Hazel Crest