Active NPI
Rebecca C Stolarek
- Massage Therapist
- Evanston, IL
National Provider Identifier
1669611513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227004136
- Practice address
- 319 Dempster St
Apt. 208
Evanston, IL 60201-4797 - Phone
- (847) 733-0169
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227004136 | IL | Primary |
Addresses
Primary practice location
319 Dempster St
Apt. 208
Evanston, IL 60201-4797
Mailing address
6313 N Wayne Ave
#2N
Chicago, IL 60660-1307
Phone (773) 544-2955
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
| License | State | Type | Specialty |
|---|---|---|---|
| 227004136 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1669611513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6313 N WAYNE AVE",
"address_2": "#2N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606601307",
"telephone_number": "773-544-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 DEMPSTER ST",
"address_2": "APT. 208",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014797",
"telephone_number": "847-733-0169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLAREK",
"first_name": "REBECCA",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227004136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.