Individual provider Active NPI

Stacey Ann Cline, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1891021515
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011454 Issued in IL
Practice address
455 N Cityfront Plaza Dr
Ste 2040
Chicago, IL 60611-5503
Phone
(312) 262-6201
Fax
(312) 262-6202
NPI assigned
Oct 30, 2009
Last updated
Oct 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8086 AZ
Chiropractor 111N00000X 11652 TX
Chiropractor 111N00000X 038011454 IL Primary

Addresses

Primary practice location

455 N Cityfront Plaza Dr
Ste 2040
Chicago, IL 60611-5503

Mailing address

55 S Main St
Ste 294
Naperville, IL 60540-5377
Phone (630) 428-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000737 IL Practitioner - Chiropractic 0840476362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 S Main St
Suite 294
Naperville, IL 60540-5377
Phone (630) 428-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8086AZMDChiropractor
11652TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stacey a Cline DC S.C. CurrentSince Mar 12, 2016 Accepting new patients
Knecht Chiropractic Clinic, P.C. Chiropractor PastSince Jan 1, 2006 Accepting new patients
American Chiropractic Clinic Chiropractor PastSince May 18, 2017 Accepting new patients
American Integrated Healthcare PLLC Chiropractor PastSince Nov 8, 2018 Accepting new patients

Locations

55 S Main St
Ste 294
Naperville, IL 60540
Phone (630) 428-2000

Organizations & group practices 4

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1891021515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S MAIN ST",
            "address_2": "STE 294",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405377",
            "telephone_number": "630-428-2000",
            "fax_number": "630-544-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N CITYFRONT PLAZA DR",
            "address_2": "STE 2040",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115503",
            "telephone_number": "312-262-6201",
            "fax_number": "312-262-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8086",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11652",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.