Individual provider Active NPI

Sydney Stefanik, LMT

  • Massage Therapist
  • Highland Park, IL
National Provider Identifier
1578378394
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227023776 Issued in IL
Practice address
1770 1St St Ste 400
Highland Park, IL 60035-3237
Phone
(312) 321-0004
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227023776 IL Primary

Addresses

Primary practice location

1770 1St St Ste 400
Highland Park, IL 60035-3237

Mailing address

720 N Pine Ave
Arlington Heights, IL 60004-5630
Phone (847) 915-2679

Other practice location 1

770 N LaSalle Street
Suite 800
Chicago, IL 60654
Phone (312) 321-0004

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

LicenseStateTypeSpecialty
227023776ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1578378394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N PINE AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045630",
            "telephone_number": "847-915-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 1ST ST STE 400",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353237",
            "telephone_number": "312-321-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 N LaSalle Street",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60654",
            "country_code": "US",
            "telephone_number": "312-321-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFANIK",
        "first_name": "SYDNEY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227023776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.