Rebecca Stack

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005891 Issued in IL

Practice address

113 W Main St
Cary, IL 60013-2718

Phone

(847) 639-5800

NPI assigned

Apr 10, 2017

Last updated

Mar 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Coyne Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Illinois Foot and Ankle Specialists, LTDGroup PAC ID 1355566183, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
• Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Illinois Foot & Ankle Specialists, LTD

  • Foot & Ankle Surgery Podiatrist
  • Crystal Lake, IL
  • NPI 1851702302
  Medicare reassignment Care Compare group NPD
• Northern Illinois Foot & Ankle Specialists, LTD

  • Foot & Ankle Surgery Podiatrist
  • Elgin, IL
  • NPI 1285267328
  NPD
• Northern Illinois Foot & Ankle Specialists, LTD

  • Podiatric Clinic/Center
  • Bloomingdale, IL
  • NPI 1427854215

  Foot & Ankle Surgery

  NPD
• Northern Illinois Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Lake in the Hills, IL
  • NPI 1760922504
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  dba Advocate Good Shepherd Hospital

  • General Acute Care Hospital
  • Barrington, IL
  • NPI 1447368071
  Care Compare affiliation
• Northern Illinois Medical Center

  dba Centegra Hospital McHenry

  • General Acute Care Hospital
  • McHenry, IL
  • NPI 1982611281
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1164955746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E TERRA COTTA AVE STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W MAIN ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132718",
            "telephone_number": "847-639-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rstack289651@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "113 W Main St",
            "city": "Cary",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600132718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "113 W Main St",
            "city": "Cary",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600132718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "COYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• April R Smith, PSY.D.
• Laura Ann Smith, RD, LD
• Roberta Marie Smith, M.S.W., L.C.S.W.
• Specialty Senior Care PLLC
• Kristen Elizabeth Splitt, SLP
• Erin Kathleen Stawarz, MHS, CCC-SLP L
• Rick A Stojak, PT
• Elizabeth A Tazelaar, PT,MPT
• Isaiah Tennell, MSW
• John Patrick Thornton, R.PH.

• Foot & Ankle Surgery Podiatrist in Cary, IL
• Providers in Cary, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.