Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104334945 Individual Practitioner Female Practitioner

Dr. Stacey L Boetto , DNP, FNP-C

Nurse Practitioner • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Boetto, DNP, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Chicago, IL. Practice services are available at 142 E ONTARIO ST STE 1200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

142 E Ontario St Ste 1200

Chicago, IL 606112750

Telephone 3125359440

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.9 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
961 Specialists

Practicing in Chicago, IL (4929 Statewide)

Telehealth Adoption Rate
19.8% 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

CMS Verified: 2025-05-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 277000185

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209.017015

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209.017015

Definition to come...

Secondary Practice Locations

303 N Raven Rd

Shorewood, IL 604049639

Phone: 8155464575

Career & Practice History Timeline

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

20 Historical Events
📍
Updated Practice Location May 29, 2025

Registered at 142 E ONTARIO ST STE 1200, CHICAGO, IL 606112750 (Tel: 3125359440)

📍
Updated Business Mailing Address May 29, 2025

Registered at 142 E ONTARIO ST STE 1200, CHICAGO, IL 606112750 (Tel: 3125359440)

👤
Provider Name / Credentials Updated May 29, 2025

Recorded as STACEY BOETTO, DNP, FNP-C

📍
Updated Practice Location January 03, 2022

Registered at 332 E VETERANS PKWY, YORKVILLE, IL 605601767 (Tel: 6308829695)

📍
Updated Business Mailing Address January 03, 2022

Registered at 332 E VETERANS PKWY, YORKVILLE, IL 605601767 (Tel: 6308829695)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Nurse Practitioner (License #209.017015 in IL)

📍
Updated Practice Location April 22, 2021

Registered at 10210 WERCH DR STE 203, WOODRIDGE, IL 605174815 (Tel: 6305924810)

📍
Updated Business Mailing Address April 22, 2021

Registered at 10210 WERCH DR STE 203, WOODRIDGE, IL 605174815 (Tel: 6305924810)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2021

Nurse Practitioner (License #277000185 in IL)

📍
Updated Practice Location November 15, 2018

Registered at 303 N RAVEN RD, SHOREWOOD, IL 604049639 (Tel: 8155464575)

📍
Updated Business Mailing Address November 15, 2018

Registered at 303 N RAVEN RD, SHOREWOOD, IL 604049639 (Tel: 8155464575)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2018

Nurse Practitioner (License #209.017015 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2018

Nurse Practitioner (License #209.017015 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Nurse Practitioner (License #209.017015 in IL)

NPI Profile Active January 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2018

Registered at 3077 W JEFFERSON ST STE 104, JOLIET, IL 604355263 (Tel: 8157446722)

📍
Updated Business Mailing Address January 28, 2018

Registered at 3077 W JEFFERSON ST, STE 104, JOLIET, IL 604355263 (Tel: 8157446722)

👤
Provider Name / Credentials Updated January 28, 2018

Recorded as STACEY BOETTO, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2018

Nurse Practitioner (License #209.017015 in IL)

🟢
Initial NPI Registration & Enumeration January 15, 2018

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: 1104334945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2018
Last Update: September 12, 2025
Sole Proprietor: Yes

Mailing Address

142 E Ontario St Ste 1200

Chicago, IL 606112750

Phone: 3125359440

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.