Stacie Lee (NPI# 1437524626, PAC ID# 1052614070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1437524626 |
| PAC ID by PECOS | 1052614070 |
| Professional Enrollment ID | I20160126001561 |
| Full Name | Stacie Lee |
| Organization Legal Name | MIDWEST ORTHOPAEDIC INSTITUTE PC |
| Address |
2128 Midlands Ct Sycamore IL 60178-3199 |
| Phone Number | 8157580000 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8729077607 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140286 | KISHWAUKEE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1952 Aberdeen Ct, Sycamore, IL 60178-3175 | 8157580000 | MIDWEST ORTHOPAEDIC INSTITUTE PC |
| 2111 Midlands Ct, Sycamore, IL 60178-3125 | 8157587481 | MIDWEST ORTHOPAEDIC INSTITUTE PC |
| 2111 Midlands Ct, Suite 100, Sycamore, IL 60178-3125 | 8157587481 | MIDWEST ORTHOPAEDIC INSTITUTE PC |
| 2128 Midlands Ct, Sycamore, IL 60178-3199 | 8157580000 | MIDWEST ORTHOPAEDIC INSTITUTE PC |
| Organization Legal Name | MIDWEST ORTHOPAEDIC INSTITUTE PC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Ellen Jones | Occupational Therapy | Midwest Orthopaedic Institute PC | 2111 Midlands Ct, Suite 100, Sycamore, IL 60178-3125 |
| Thomas S Dwyer | Podiatry | Midwest Orthopaedic Institute PC | 1952 Aberdeen Ct, Sycamore, IL 60178-3175 |
| Matthew S Eickman | Physical Therapy | Midwest Orthopaedic Institute PC | 3260 Sycamore Rd, Dekalb, IL 60115-9621 |
| Jason T Hiatt | Physical Therapy | Midwest Orthopaedic Institute PC | 2111 Midlands Ct, Suite 100, Sycamore, IL 60178-3125 |
| Adam R Hall | Physical Therapy | Midwest Orthopaedic Institute PC | 900 N 2nd St, Midwest Orthopaedic Institute Sc, Rochelle, IL 61068-1764 |
| Aime G. Inamdar | Physical Therapy | Midwest Orthopaedic Institute PC | 2111 Midlands Ct, Suite 100, Sycamore, IL 60178-3125 |
| Ryan Kenny | Orthopedic Surgery | Midwest Orthopaedic Institute PC | 2111 Midlands Ct, Suite 100, Sycamore, IL 60178-3125 |
| Micheal David Wank | Physician Assistant | Midwest Orthopaedic Institute PC | 2111 Midlands Ct, Suite 100, Sycamore, IL 60178-3125 |
| Lynette M Rajterowski | Occupational Therapy | Midwest Orthopaedic Institute PC | 2111 Midlands Ct, Suite 100, Sycamore, IL 60178-3125 |
| Steven G Glasgow | Orthopedic Surgery | Midwest Orthopaedic Institute PC | 2111 Midlands Ct, Suite 100, Sycamore, IL 60178-3125 |
| Street Address |
2128 MIDLANDS CT |
| City | SYCAMORE |
| State | IL |
| Zip | 60178-3199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Ruetten | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Elaine Lawrence | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Kristin A Mock | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Ketan Morker | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Odolina Pope | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Mark A Drendel | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Heather Marvin | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Michael William Thornton | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Catherine A Ruetten | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Cheri L Sprietler | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Find all physicians in zip 60178 | |||
| City | SYCAMORE |
| Zip Code | 60178 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SYCAMORE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.