STACIE D MCCLANE (NPI# 1245258490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245258490 |
| Entity Type | Individual |
| Full Name | STACIE D MCCLANE |
| Credential | D.R. |
| Practice Address |
680 N. Lake Shore Drive Suite 1425 Chicago IL 60611 |
| Practice Telephone | 3128679500 |
| Mailing Telephone | 3128679500 |
| Mailing Fax Number | 3126747501 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
036-106591 | IL | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
036-106591 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
680 N. LAKE SHORE DRIVE SUITE 1425 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225417876 | Michelle Goldklang | Nurse Practitioner | 680 N. Lake Shore Drive, Chicago, IL 60611 | 2015-05-28 |
| 1124386891 | Agnieszka Chartynowicz | Physician Assistant | 680 N. Lake Shore Drive, Suite 1424, Chicago, IL 60611 | 2012-05-01 |
| 1376733295 | Eric Gausche | Psychiatry & Neurology | 680 N. Lake Shore Drive, Suite #1000, Chicago, IL 60611-8709 | 2007-07-26 |
| 1093931677 | Dianne M Sawyer | Obstetrics & Gynecology | 680 N. Lake Shore Drive, Suite 824, Chicago, IL 60611 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629485586 | Daniel Demesh | Otolaryngology | 1855 W Taylor St Ste 3.87, Chicago, IL 60612 | 2014-07-11 |
| 1790125953 | Chicago Sinus & Allergy Center | Otolaryngology | 737 N Michigan Ave, Suite 903, Chicago, IL 60611-2615 | 2013-07-02 |
| 1558505693 | Anil Shah Md PC | Otolaryngology | 845 N Michigan Ave, Suite 934e, Chicago, IL 60611-2252 | 2009-04-20 |
| 1821268772 | Gold Coast Plastic Surgery LLC | Otolaryngology | 1 E Erie St, Suite 640, Chicago, IL 60611-2740 | 2008-03-06 |
| 1114005600 | Sehjin Han | Otolaryngology | 233 E Erie St, #804, Chicago, IL 60611-2926 | 2006-11-01 |
| 1548342355 | George Thomas Moynihan | Otolaryngology | 1 E Erie St, Suite 640, Chicago, IL 60611-2740 | 2006-10-20 |
| 1730179482 | Douglas Sidle | Otolaryngology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316138522 | Mark L. Lundine M.d. P.C. | Otolaryngology | 6979 Redansa Dr, Rockford, IL 61108-1201 | 2007-08-05 |
| 1235141664 | Dale R Chilson | Otolaryngology | 4040 Progress Blvd, Peru, IL 61354-1124 | 2006-08-13 |
| 1932108396 | Chicago Head and Neck Surgical Specialists Sc | Otolaryngology | 1575 Barrington Rd, Suite #305, Hoffman Estates, IL 60194-1057 | 2005-07-19 |
| 1760736714 | Adventist Health Partners, Inc | Otolaryngology | 950 N York Rd, Ste 109, Hinsdale, IL 60521-2950 | 2012-10-30 |
| 1467740217 | David Sarcu | Otolaryngology | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2011-07-14 |
| 1588964357 | Krystyna Gal | Otolaryngology | 16001 108th Ave, Orland Park, IL 60467-8788 | 2010-10-27 |
| 1619291861 | Dina Golbin-hallett | Otolaryngology | 1750 N Randall Rd Ste 210, Elgin, IL 60123-7903 | 2010-03-17 |
| 1386892172 | Mary Louise Schinkel | Otolaryngology | 4 Memorial Dr Ste 230b, Alton, IL 62002-6751 | 2008-09-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.