Stacie D Mcclane
Facial Plastic Surgeon
680 N. Lake Shore Drive Suite 1425
Chicago
, Illinois 60611
Stacie D Mcclane
Facial Plastic Surgeon
680 N. Lake Shore Drive Suite 1425
Chicago
, Illinois 60611
(312) 674-7501
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Stacie D Mcclane
- 680 N. Lake Shore Drive Suite 1425
- Chicago, IL
- Zip : 60611
- Fax : (312) 674-7501
- Phone : (312) 867-9500
Second Address
- Stacie D Mcclane
- 680 N. Lake Shore Drive Suite 1425
- Chicago, IL
- Zip : 60611
- Phone : (312) 867-9500
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 036-106591 | IL |
National Provider Identifier
| NPI | 1245258490 |
|---|---|
| Provider Name | Stacie D Mcclane |
| First Address | Chicago, IL 60611 |
| Second Address | Chicago, IL 60611 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 25/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.