DR. KAROLINA STACK (NPI# 1053842443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053842443 |
| Entity Type | Individual |
| Full Name | DR. KAROLINA STACK |
| Other Name | KAROLINA SABALIAUSKAITE |
| Credential | M.D. |
| Practice Address |
525 E Congress Pkwy Ste 220 Crystal Lake IL 60014-6258 |
| Practice Telephone | 8154596780 |
| Practice Fax Number | 8154591648 |
| Mailing Telephone | 8154596780 |
| Mailing Fax Number | 8154591648 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036.151998 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 1053842243 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 S 1st Ave, Maywood, IL 601533328 | 7083279124 | 7083279132 |
| Street Address |
525 E CONGRESS PKWY STE 220 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134100688 | Barry A Altshuler | Pediatrics | 820 E Terra Cotta Ave, Suite 226, Crystal Lake, IL 60014-3649 | 2005-11-10 |
| 1598765521 | Pediatric Specialist of The Nw Mdsc | Pediatrics | 475 W Terra Cotta Ave, Ste 01, Crystal Lake, IL 60014-3407 | 2005-08-01 |
| 1528675329 | Northwest Autism Diagnostic Center, LLC | Pediatrics | 394 Federal Dr, Crystal Lake, IL 60014-6281 | 2020-09-25 |
| 1811218654 | Gary Lee Reschak | Pediatrics | 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 | 2010-06-16 |
| 1700909728 | Everett Lawrence Weiss | Pediatrics | 820 E Terra Cotta Ave, Suite 226, Crystal Lake, IL 60014-3649 | 2007-04-06 |
| 1982762456 | Ranjana Nath | Pediatrics | 350 E Congress Pkwy, Ste E, Crystal Lake, IL 60014-6284 | 2006-12-05 |
| 1316017155 | Douglas A Henning | Pediatrics | 390 E Congress Pkwy, Ste M, Crystal Lake, IL 60039-0619 | 2006-11-09 |
| 1134201908 | Lisa B Messinger | Pediatrics | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2006-10-20 |
| 1871694661 | Manju Chatterji | Pediatrics | 350 E Congress Pkwy, Ste E, Crystal Lake, IL 60014-6284 | 2006-09-26 |
| 1932112414 | Ubaidur Papa | Pediatrics | 460 Coventry Ln, Suite 206, Crystal Lake, IL 60014-7561 | 2006-08-14 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on DR. KAROLINA STACK.
| 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.