Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164744652 Individual Practitioner Female Practitioner

Stacy Bly

Specialist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Stacy Bly is a registered healthcare professional specializing in Specialist in Chicago, IL. Practice services are available at 663 W GRACE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

663 W Grace St

Chicago, IL 606134026

Telephone 7735555555

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
270 Specialists

Practicing in Chicago, IL (1322 Statewide)

Telehealth Adoption Rate
1.9% 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 070009463

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

1 Associated Practitioners
NPI 1801177407

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 17, 2010

NPI status registered as active in NPPES database

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Updated Practice Location May 17, 2010

Registered at 663 W GRACE ST, CHICAGO, IL 606134026 (Tel: 7735555555)

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Updated Business Mailing Address May 17, 2010

Registered at 663 W GRACE ST APT 306, CHICAGO, IL 606134024

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Provider Name / Credentials Updated May 17, 2010

Recorded as STACY BLY

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2010

Specialist (License #070009463 in IL)

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Initial NPI Registration & Enumeration February 24, 2010

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: 1164744652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2010
Last Update: May 17, 2010
Sole Proprietor: Yes

Mailing Address

663 W Grace St Apt 306

Chicago, IL 606134024

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.