Stacey a Cline DC S.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

038011454 Issued in IL

Legal business name

STACEY A CLINE DC S.C.

Practice address

55 S Main St
Suite 294
Naperville, IL 60540-5372

Phone

(630) 428-2000

NPI assigned

Dec 11, 2014

Last updated

Jan 4, 2016By 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. Stacey A ClineNPI 1891021515

Title

Chiropractor

Phone

(563) 503-1037

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Stacey Ann Cline, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1891021515
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1376941088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0S501 PRESTON CIR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601346147",
            "telephone_number": "563-503-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S MAIN ST",
            "address_2": "SUITE 294",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405372",
            "telephone_number": "630-428-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY A CLINE DC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-503-1037",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038011454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padmini Kousalya Sriman, BCBA
• Courtney Srum
• St Patrick Residence (St. Patrick's Residence)
• Natasha St. Victor, LCSW
• Tamara Stabrowski, RD, LDN, CEDRD
• Catherine Maya Stachnik, D.O.
• Stacy
• Peter Anthony Stadalsky, DC
• Jillian Staffeldt
• Stafford Counseling, Inc

• Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.