STACIE MARIE LEE (NPI# 1437524626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437524626 |
| Entity Type | Individual |
| Full Name | STACIE MARIE LEE |
| Credential | PA |
| Practice Address |
2111 Midlands Ct Sycamore IL 60178-3125 |
| Mailing Address |
1952 Aberdeen Ct Sycamore IL 60178-3175 |
| Practice Telephone | 8157580000 |
| Practice Fax Number | 8157580094 |
| Mailing Telephone | 8157580000 |
| Mailing Fax Number | 8157580094 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085005740 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724913 | Stacie Lee | Social Worker | 1150 Graham Rd, Florissant, MO 63031-8077 | 2020-03-09 |
| Street Address |
2111 MIDLANDS CT |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669444709 | Ibrahim S Alghafeer | Internal Medicine | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2006-02-03 |
| 1366003071 | Ciara Lightner | Occupational Therapist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2019-06-24 |
| 1205344215 | Matthew Kraft | Specialist/Technologist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2018-01-12 |
| 1174076814 | Allison Bucaro-fink | Physical Therapy Assistant | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2016-07-29 |
| 1861840597 | Stephanie Rae Liesse | Physical Therapist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2016-06-03 |
| 1467841809 | Kishwaukee Corporate Health @moi | Clinic/Center | 2111 Midlands Ct, Suite 201, Sycamore, IL 60178-3125 | 2015-01-22 |
| 1396161576 | Sarah Carlson | Specialist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2014-03-11 |
| 1386980308 | Taylor Sweers | Physical Therapist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2012-12-19 |
| 1679801674 | David Gramer | Specialist/Technologist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2009-12-02 |
| 1811225261 | Susan K Mueller | Nurse Practitioner | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2009-11-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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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.