Stacy A Symanski, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036102757 Issued in IL

Practice address

2 Prudential Plaza
Suite 3175
Chicago, IL 60601

Phone

(312) 565-1600

Fax

(844) 272-6197

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lakeside Eye Group, S.C.

  • Specialist
  • Chicago, IL
  • NPI 1497954820
  NPD (past)
• Monroe Medical Associates, SC

  • Hematology & Oncology Physician
  • Tinley Park, IL
  • NPI 1588607923
  NPD (past)
• Sr Cornea Consultants SC

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1629463039
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1629029038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PRUDENTIAL PLAZA",
            "address_2": "SUITE 3175",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "312-565-1600",
            "fax_number": "844-272-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PRUDENTIAL PLAZA",
            "address_2": "SUITE 3175",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "312-565-1600",
            "fax_number": "844-272-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMANSKI",
        "first_name": "STACY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036102757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31601613",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IL2757",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102757",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2246937",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2977114",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leke Sylaj
• Fatoumata Y Sylla, MD
• Syllables Speech Workshop LLC
• Sylvia Munoz, LCSW, PLLC
• Kyra Elizabeth Symanski, MA, CCC/SLP, CBIS
• Symed, Inc.
• Emily Symes, MD
• Anna Gravier Symmes, MD
• Rebecca Cipriano Symmes, MA
• Symmetry Counseling LLC

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.