Mccarty, Stacy

Mccarty, Stacy is an individual health care provider with primary practice located at 7600 S County Line Rd , Burr Ridge IL 60527-6950. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mccarty, Stacy can be contacted via phone (630) 388-6700.

Contact Information

Primary practice address
7600 S County Line Rd Burr Ridge IL 60527-6950
Phone: (630) 388-6700
Fax: (630) 388-6777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-102233 Illinois

Profile Details

NPI number 1952318248
LBN Legal business name Mccarty, Stacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jun 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952318248 NPPES
Illinois MEDICAID 036102233

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