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

Rebecca Stack

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1164955746

Rebecca Stack is a Podiatry in Cary, Illinois. Qualified in 2017, 9 years ago. Practices with Northern Illinois Foot and Ankle Specialists, Ltd, an 18-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017

Practice location Address checks out

113 W Main St
Cary, IL 60013-2718
Phone: (847) 639-5800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016005891 (IL)

Record details

NPI number1164955746
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address750 E Terra Cotta Ave Ste C, Crystal Lake, IL 60014-3621

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northern Illinois Foot And Ankle Specialists, Ltd — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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