Individual provider Active NPI

Stacey Ann Franklin, DC

  • Chiropractor
  • Island Lake, IL
National Provider Identifier
1669574828
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007218 Issued in IL
Practice address
533 Auburn Dr
Island Lake, IL 60042-9134
Phone
(847) 865-5093
Fax
(847) 865-5098
NPI assigned
Sep 1, 2006
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007218 IL Primary

Addresses

Primary practice location

533 Auburn Dr
Island Lake, IL 60042-9134

Mailing address

533 Auburn Dr
Island Lake, IL 60042-9134
Phone (847) 865-5093

Other identifiers 1

IdentifierTypeStateIssuer
02232896OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060217000082 IL Practitioner - Chiropractic 5193730869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

533 Auburn Dr
Island Lake, IL 60042-9134
Phone (847) 865-5093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038007218ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prokopec Chiropractic Clinic, LTD. Chiropractor CurrentSince Dec 12, 2005 Accepting new patients

Locations

533 Auburn Dr
Island Lake, IL 60042
Phone (847) 865-5093

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1669574828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 AUBURN DR",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429134",
            "telephone_number": "847-865-5093",
            "fax_number": "847-865-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 AUBURN DR",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429134",
            "telephone_number": "847-865-5093",
            "fax_number": "847-865-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02232896",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Island Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.