Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stacey L Carpenter, DO

Individual provider Family Medicine Physician · NPI 1770819708

Dr. Stacey L Carpenter, DO is a Family Practice in Countryside, Illinois. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2009, 17 years ago. Practices with Premise Health of Illinois Medical PC, a 26-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
IL
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6150 Joliet Rd
Countryside, IL 60525-3956
Phone: (708) 485-2273
Fax: (708) 352-0845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036134169 (IL)

Record details

NPI number1770819708
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 27, 2009
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address6150 Joliet Rd, Countryside, IL 60525-3956

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2009 (17 years in practice)
Group practice Premise Health Of Illinois Medical Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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