STACIE D MCCLANE


Address: 680 N. Lake Shore Drive, Suite 1425, Chicago, IL 60611
Phone: 3128679500

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 680 N. LAKE SHORE DRIVE
SUITE 1425
City CHICAGO
State IL
Zip Code 60611

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207YS0123X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Facial Plastic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City CHICAGO
Zip Code 60611

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Dataset Information

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.

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