Active NPI
Rodney Stuck, DPM
- Foot & Ankle Surgery Podiatrist
- Maywood, IL
National Provider Identifier
1578537809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 16003859
- Practice address
- 2160 S 1St Ave
(17W740 22ND Street, Oakbrook Terrace, Il. 60181)
Maywood, IL 60153 - Phone
- (630) 627-7399
- Fax
- (630) 627-7079
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 16003859 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
(17W740 22ND Street, Oakbrook Terrace, Il. 60181)
Maywood, IL 60153
Mailing address
2160 S 1St Ave
(17W740 22ND Street, Oakbrook Terrace, Il. 60181)
Maywood, IL 60153
Phone (630) 627-7399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16003859 | Medicaid | IL | |
| L98023 | Other | IL | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rstuck14206@direct.luhs.org | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16003859 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Loyola University Physician Foundation | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- General Practice Physician
- Maywood, IL
- NPI 1235148891
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1578537809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"address_2": "(17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "630-627-7399",
"fax_number": "630-627-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"address_2": "(17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "630-627-7399",
"fax_number": "630-627-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCK",
"first_name": "RODNEY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "16003859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16003859",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "L98023",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rstuck14206@direct.luhs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2160 S 1st Ave",
"address_2": "(17W740 22nd Street, Oakbrook Terrace, IL. 60181)",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "60153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.