Active NPI
Stephanie E Carey, CPE
- Specialist
- Oak Park, IL
National Provider Identifier
1255010120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 220000246
- Practice address
- 114 N Marion St Ste 103
Oak Park, IL 60301-1005 - Phone
- (708) 665-5225
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 220000246 | IL | Primary |
Addresses
Primary practice location
114 N Marion St Ste 103
Oak Park, IL 60301-1005
Mailing address
8037 Lake St Apt 2
River Forest, IL 60305-1679
Phone (708) 910-8773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220000246 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1255010120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8037 LAKE ST APT 2",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051679",
"telephone_number": "708-910-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N MARION ST STE 103",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011005",
"telephone_number": "708-665-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "STEPHANIE",
"middle_name": "E",
"credential": "CPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "220000246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.