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

Melinda Ellen Stack, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1215223490

Melinda Ellen Stack, MD is a Colorectal Surgery (Proctology) in Chicago, Illinois. Graduated from University of Chicago, Pritzker School of Medicine in 2011, 15 years ago. Practices with Minnesota Oncology Hematology PA, a 132-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
IL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5140 N California Ave Ste 560
Chicago, IL 60625-2577
Phone: (847) 570-1700
Fax: (847) 982-1098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 036135948 (IL)

Record details

NPI number1215223490
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2011
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021
Mailing address5140 N California Ave Ste 560, Chicago, IL 60625-2577

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Minnesota Oncology Hematology Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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