Dr. Stephanie Lacey, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-007426 Issued in IL

Legal business name

DR. STEPHANIE LACEY, LLC

Practice address

148 N Washington St
Naperville, IL 60540-4512

Phone

(630) 961-2848

NPI assigned

Dec 5, 2007

Last updated

Jul 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Pendolino, D.C.

Title

Managing Member

Phone

(630) 961-2848

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Dr Stephanie Lacey LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Stephanie, LLC

  • Acupuncturist
  • Naperville, IL
  • NPI 1174881833
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Susan Lacey, D.C., DIPL. ACUP.

  • Chiropractor
  • Naperville, IL
  • NPI 1366535098
  Medicare reassignment
• Alexander Chiu-Lim Hugh, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1811056880
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1326221961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 N WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404512",
            "telephone_number": "630-961-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404512",
            "telephone_number": "630-961-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHANIE LACEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "PENDOLINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "630-961-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350044698",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Leah Rose LLC (Maverick Chiropractic)
• Dr. Mary Deherrera-Codo MD PC
• Dr. Planer & Associates, LTD
• Dr. Sarah Russ, DC, S.C.
• Dr. Shantelle and Associates, LTD
• Dr. Stephanie, LLC
• Dr. Troy Tann S.C. (Balanced Life Chiropractic & Wellness Center)
• Iesha Drayton
• Matthew James Drescher, D.D.S
• Drew Dresden

• Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.