Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063823706 Individual Practitioner Female Practitioner

Stacey Bethune , MS, ATC

Specialist • Bolingbrook, IL

Professional Overview & Biography Verified Profile Summary

Stacey Bethune, MS, ATC is a registered healthcare professional specializing in Specialist in Bolingbrook, IL. Practice services are available at 790 REMINGTON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

790 Remington Blvd

Bolingbrook, IL 604404909

Telephone 6302962222
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bolingbrook, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 57.0 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Bolingbrook, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 096.003703

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Patricia Richardson , ATC

Specialist/Technologist - Athletic Trainer

NPI 1003351008

Certified Athletic Trainer

Mackenzie Winkler , FNP

Nurse Practitioner - Family

NPI 1205247236

Family Nurse Practitioner

Shelly Wilson , PT

Physical Therapist

NPI 1275712812

Physical Therapist

James Deloach , OT

Occupational Therapist

NPI 1346284007

Occupational Therapist

Courtney Roberts , ATC

Specialist/Technologist - Athletic Trainer

NPI 1447642228

Certified Athletic Trainer

Bryan Welder , MPT

Physical Therapist

NPI 1457307498

Master of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2014

Registered at 790 REMINGTON BLVD, BOLINGBROOK, IL 604404909 (Tel: 6302962222)

📍
Updated Business Mailing Address May 15, 2014

Registered at 790 REMINGTON BLVD, BOLINGBROOK, IL 604404909

👤
Provider Name / Credentials Updated May 15, 2014

Recorded as STACEY BETHUNE, MS, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2014

Specialist (License #096.003703 in IL)

🟢
Initial NPI Registration & Enumeration May 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063823706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2014
Last Update: May 15, 2014
Sole Proprietor: No

Mailing Address

790 Remington Blvd

Bolingbrook, IL 604404909

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.