IndividualActive
Robert Stacey, ATC
NPI 1639147929 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Chicago, IL
Provider details
- NPI number
- 1639147929
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Male
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6000 W Touhy Ave
Suite 202
Chicago, IL 60646-1275
Phone: (773) 774-4291
Fax: (773) 774-4527
Approximate (ZIP-level) locationGet directions
Mailing address
8922 N Wisner St
Niles, IL 60714-1764
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.