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
- Primary practice
-
1775 Dempster St
Park Ridge, IL 600681143
(847) 723-2210
fax (847) 692-7915
Credentials & registration
- NPI registered
- January 2012 — 14 yrs on file
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Illinois #085.004160
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003187469. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$138
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ethicon US, LLC | 1 | $138.21 |
By nature of payment
Frequently asked questions
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.