STACIE D. MCCLANE D.R. – NPI #1245258490
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

STACIE MCCLANE is an otolaryngologist located in CHICAGO, IL. NPPES has assigned the NPI number 1245258490 to STACIE MCCLANE on July 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

The NPI profile was previously updated about 12 years ago on Apr 25, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STACIE MCCLANE below.

NPI Profile for
STACIE D. MCCLANE

NPI Number
1245258490
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACIE D. MCCLANE
Credentials
D.R.
Primary location
680 N. LAKE SHORE DRIVE
SUITE 1425
CHICAGO, IL 60611
Phone: (312) 867-9500 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YS0123X
- Otolaryngology / Facial Plastic Surgery (Primary)
IL 036-106591
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck
IL 036-106591

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.