DR. CYNTHIA VERONICA STACK (NPI# 1447264932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447264932 |
| Entity Type | Individual |
| Full Name | DR. CYNTHIA VERONICA STACK |
| Credential | MD |
| Practice Address |
2300 Childrens Plaza Childrens Memorial Hospital #52 Chicago IL 60614 |
| Practice Telephone | 7738804352 |
| Practice Fax Number | 7738803896 |
| Mailing Telephone | 7738804352 |
| Mailing Fax Number | 7738803896 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
036051310 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036051310 | 05 |
| Street Address |
2300 CHILDRENS PLAZA CHILDRENS MEMORIAL HOSPITAL #52 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275529828 | Dawn Diaz Saldano | Nurse Practitioner | 2300 Childrens Plaza, Children's Memorial Hospital, Chicago, IL 60614 | 2005-09-20 |
| 1659642940 | Erin Marie Hoeman | Nurse Practitioner | 2300 Childrens Plaza, Chicago, IL 60614 | 2012-01-19 |
| 1932409984 | Kristina N Stein | Occupational Therapist | 2300 Childrens Plaza, Chicago, IL 60614-3363 | 2010-10-25 |
| 1407012735 | Allison Heather Cole | Pediatrics | 2300 Childrens Plaza, Childrens Memorial Hospital, Chicago, IL 60614 | 2008-08-06 |
| 1407021538 | Mandy Tian | Occupational Therapist | 2300 Childrens Plaza, Box 142, Chicago, IL 60614 | 2008-04-29 |
| 1679604193 | Anthony C Chin | Surgery | 2300 Childrens Plaza, Chicago, IL 60614 | 2007-03-08 |
| 1215080460 | Kathleen Quattrocchi Brady | Pediatrics | 2300 Childrens Plaza, Chicago, IL 60614 | 2007-01-19 |
| 1154495448 | Michael David Kelleher | Pediatrics | 2300 Childrens Plaza, Box #73, Chicago, IL 60614-3394 | 2006-11-20 |
| 1285717751 | Susan Jean Daley | Pediatrics | 2300 Childrens Plaza, Chicago, IL 60614-3394 | 2006-10-20 |
| 1063514917 | Sharon M Unti | Pediatrics | 2300 Childrens Plaza, Box #18, Chicago, IL 60614 | 2006-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851558001 | Lubov Romantseva | Psychiatry & Neurology | 1725 W Harrison St Ste 718, Department of Pediatrics, Section of Child Neurology, Chicago, IL 60612-3863 | 2008-05-16 |
| 1356446306 | Leonard D Elkun Md Sc | Psychiatry & Neurology | 411 W Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-09-14 |
| 1023129145 | Leonard David Elkun | Psychiatry & Neurology | 411 W. Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-08-31 |
| 1811929003 | Charles Nash Swisher | Psychiatry & Neurology | 2515 N Clark Street, Suite, Chicago, IL 60614 | 2006-07-07 |
| 1578531950 | David G Ritacco | Psychiatry & Neurology | 225 E Chicago Ave # 51, Chicago, IL 60611-2991 | 2006-03-10 |
| 1386639342 | Audrius V Plioplys | Psychiatry & Neurology | 8844 S Pleasant Ave, Chicago, IL 60620-5441 | 2005-09-15 |
| 1720532773 | Adult and Pediatric Neurology | Psychiatry & Neurology | 5318 W Devon Ave, Chicago, IL 60646-4108 | 2016-08-08 |
| 1851785547 | Henry David | Psychiatry & Neurology | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2015-03-20 |
| 1972910404 | David Andrew Bieber | Psychiatry & Neurology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2014-07-16 |
| 1992122410 | Divakar Mithal | Psychiatry & Neurology | 225 E Chicago Ave Dept Of, Chicago, IL 60611-2991 | 2014-03-21 |
| Find all providers in CHICAGO | ||||
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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.