CARYN M. STACK (NPI# 1770569469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770569469 |
| Entity Type | Individual |
| Full Name | CARYN M. STACK |
| Credential | M.D. |
| Practice Address |
3815 Highland Ave Radiology Department Downers Grove IL 60515-1500 |
| Mailing Address |
520 E 22nd St Lombard IL 60148-6110 |
| Practice Telephone | 6302755900 |
| Mailing Telephone | 6308742542 |
| Mailing Fax Number | 6308742642 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2007-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
3815 HIGHLAND AVE RADIOLOGY DEPARTMENT |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093715815 | Marc R. Spiller | Emergency Medicine | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2005-07-22 |
| 1053942318 | Mary Sue Dailey | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2020-01-27 |
| 1356902613 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2019-06-26 |
| 1568921039 | Michelle Bankhead | Specialist/Technologist, Other | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2019-03-14 |
| 1891253738 | Cherida Walker | Specialist/Technologist, Other | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2019-03-11 |
| 1003381955 | Stephanie Lallanilla | Physician Assistant | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2018-10-08 |
| 1669955936 | Olivia Schultz | Physician Assistant | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2018-09-12 |
| 1043705130 | Jessica Lynn Jandak | Clinical Neuropsychologist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2018-06-29 |
| 1255821930 | Margaret K Nolte | Internal Medicine | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2018-05-17 |
| 1336639269 | Brittney Coleman | Nurse Practitioner | 3815 Highland Ave, Downers Grove, IL 60515-1590 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467719468 | Peter Edward Doris | Radiology | 5300 Turvey Ct, Downers Grove, IL 60515-4529 | 2012-04-13 |
| 1346410453 | Aheed J Siddiqi | Radiology | 3815 Highland Ave, Attn: Radiology Department, Downers Grove, IL 60515-1500 | 2008-03-04 |
| 1780747600 | Sivaraja Kuppuswami | Radiology | 3815 Highland Ave, Good Samaritan Hospital, Downers Grove, IL 60515-1500 | 2006-12-19 |
| 1235115973 | Josie P. Kim | Radiology | 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515-1500 | 2005-12-15 |
| 1134105877 | Liza J. Lopez | Radiology | 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515-1500 | 2005-12-15 |
| 1194701730 | Howard K. O'neil | Radiology | 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515-1500 | 2005-12-15 |
| 1194701870 | Kurt R. Schultz | Radiology | 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515-1500 | 2005-12-15 |
| 1699750760 | Scott P. Burstein | Radiology | 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515-1500 | 2005-12-13 |
| 1184609224 | Rajeev M. Bhorade | Radiology | 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515-1500 | 2005-12-13 |
| 1568447589 | George H. Sacy | Radiology | 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515-1500 | 2005-12-13 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on CARYN M. 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.