NPI

Robert R Stacey

NPI 1639147929

Read from the NPPES registry on October 25, 2026.

Facts

Status
Active
Credential
ATC
Type
Individual
Enumeration date
2006-03-10
Last updated
2026-07-13

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Specialties

Licenses

License IL
096-002109

Location

Practice location
6000 W Touhy Ave, Suite 202
City
Chicago IL
Postal code
60646-1275
Phone
(773) 774-4291
Fax
(773) 774-4527

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Physical Medicine & Rehabilitation, Sports Medicine providers in Chicago, IL. 21 with this primary taxonomy in the public file.

Other NPIs in Chicago, IL. 81,186 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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