STACIE D MCCLANE D.R. NPI 1245258490

NPI Information

NPI: 1245258490
Provider Name: STACIE D MCCLANE, D.R.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

Address:
680 N. LAKE SHORE DRIVE
SUITE 1425
CHICAGO, IL
ZIP 60611
Phone: (312) 867-9500
Get Directions

Stacie D Mcclane, D.R. is a facial plastic surgery otolaryngology in Chicago, IL. The provider is an otolaryngologist who specializes in facial plastic surgery. Stacie D Mcclane, D.R. NPI is 1245258490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

680 N. LAKE SHORE DRIVE
SUITE 1425
CHICAGO, IL
ZIP 60611
Phone: (312) 867-9500

The enumeration date for this NPI number is 7/17/2006 and was last updated on 4/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	036-106591	ILLINOIS	No
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	036-106591	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	204190	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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