Doctor profile · Federal record

Dr. Stacey Roline, PA-C

Surgical Physician Assistant · Park Ridge, IL

  • NPI 1003187469
  • 14 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1775 Dempster St
Park Ridge, IL 600681143
(847) 723-2210
fax (847) 692-7915

Credentials & registration

NPPES · NUCC
NPI registered
January 2012 — 14 yrs on file
Specialty taxonomy
363AS0400X — NUCC code
State license (1)
Illinois #085.004160

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1003187469. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$138
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Ethicon US, LLC 1 $138.21

By nature of payment

Food and Beverage
$138

Frequently asked questions

Auto-generated from federal data
What is Dr. Stacey Roline's medical specialty?
Dr. Stacey Roline practices Surgical Physician Assistant in Park Ridge, IL.
Where does Dr. Stacey Roline practice?
Dr. Stacey Roline practices at 1775 Dempster St, Park Ridge, IL 600681143. Office phone: 8477232210.
What is Dr. Stacey Roline's NPI?
Dr. Stacey Roline's National Provider Identifier (NPI) is 1003187469, issued by NPPES.