Stephen Thomas Treacy
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Chicago, IL
NPI 1609456771 · NPPES record last updated Jul 8, 2026
Key facts
- NPI
- 1609456771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 13650 (NC)
- Practice address
- 801 S Paulina St RM 131
Chicago, IL 60612-7210 - Phone
- (860) 372-0515
- NPI assigned
- Apr 12, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019033126 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Kids Dental Center, LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 13650 | NC | Yes |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10725 | SC | |
| General Practice Dentistry | 1223G0001X | 019033126 | IL |
Addresses
Primary practice location
801 S Paulina St RM 131
Chicago, IL 60612-7210
Mailing address
801 S Paulina St RM 131
Chicago, IL 60612-7210
Other practice location 1
5160 S Pulaski Rd Ste 102
Chicago, IL 60632-4253
Phone (773) 423-2810
Other providers in Chicago, IL
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- Rajaa Traynor
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- Brittany Treacy
- Clara Treadway
- Hattie Treadwell Cox
- Treasured Hands Home Health Agency, LLC
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- Camden Treat
All providers in Chicago, IL · Orthodontics and Dentofacial Orthopedics Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.