Active NPI
Margaret Berlin Stanley, APRN
- Addiction Medicine (Psychiatry & Neurology) Physician
- Hines, IL
National Provider Identifier
1841073285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 209.002800
- Practice address
- 5000 South 5TH Avenue
BLDG 228, 4 South, Room 4044
Hines, IL 60141 - Phone
- (708) 202-5589
- Fax
- (708) 202-4766
- NPI assigned
- Aug 18, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 209.002800 | IL | Primary |
Addresses
Primary practice location
5000 South 5TH Avenue
BLDG 228, 4 South, Room 4044
Hines, IL 60141
Mailing address
11241 Sycamore LN Unit a
Palos Hills, IL 60465-2576
Phone (708) 705-7766
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 |
|---|---|---|---|
| 209.002800 | IL | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1841073285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11241 SYCAMORE LN UNIT A",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604652576",
"telephone_number": "708-705-7766",
"fax_number": "708-202-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SOUTH 5TH AVENUE",
"address_2": "BLDG 228, 4 SOUTH, ROOM 4044",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-202-5589",
"fax_number": "708-202-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "MARGARET",
"middle_name": "BERLIN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "IL",
"license": "209.002800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.