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

Stacey Anne Bennis, MD, CAQ-SM

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1265870695

Stacey Anne Bennis, MD, CAQ-SM is a Physical Medicine and Rehabilitation in Maywood, Illinois. Graduated from Wayne State University School of Medicine in 2013, 13 years ago. Practices with Loyola University Medical Center, a 946-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Trained at
Wayne State University School of Medicine
Licensed in
IL
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2160 S 1st Ave Ste 1700
Maywood, IL 60153-3328
Phone: (888) 584-7888
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 036146120 (IL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 125-063353 (IL)

Record details

NPI number1265870695
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , CAQ-SM
Sole proprietorNo
NPI enumeratedJune 7, 2013
Last updated in NPPESOctober 25, 2020
Certification dateOctober 25, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Loyola University Medical Center — 946 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Maywood