1. Home
  2. Directory
  3. Illinois
  4. Bolingbrook
  5. Specialist
  6. NPI Profile

STACEY BETHUNE MS, ATC
NPI 1063823706
Specialist in Bolingbrook, IL

Active since May 15, 2014
790 REMINGTON BLVD, BOLINGBROOK, IL 60440(630) 296-2222 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Bethune Ms, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY BETHUNE MS, ATC (NPI 1063823706) is an individual specialist in Bolingbrook, Illinois, licensed in Illinois (096.003703) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1063823706
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSTACEY BETHUNECredential: MS, ATC
Location Address790 REMINGTON BLVDBolingbrook, IL 60440-4909
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909
Phone(630) 296-2222
Sole ProprietorNo
Enumeration DateMay 15, 2014
✔ NPI 1063823706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 096.003703
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
790 REMINGTON BLVD, Bolingbrook, IL 60440
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA RICHARDSON ATC
Specialist/Technologist (Athletic Trainer)
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Will County (630) 296-2222
ERIKA LAUREN ROBINSON DPT
Physical Therapist
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Will County (630) 296-2223
JULIA KATHRYN FOSTER
Specialist/Technologist (Athletic Trainer)
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Will County (630) 296-2223
LATIFAH TEYONNA REID ATC, LAT
Specialist/Technologist (Athletic Trainer)
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Will County (630) 296-2223
SANDRA STARKOVICH PT
Physical Therapist
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Will County (866) 370-8206
LAUREN E MOORE DPT
Physical Therapist
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Will County (630) 296-2223
ANAHID EDJLALI RDN
Dietitian, Registered (Nutrition, Metabolic)
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Will County (630) 296-2223
BRITTNY E SILKE PT
Physical Therapist
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Will County (781) 237-5585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Bethune's NPI number?

The NPI number for Stacey Bethune is 1063823706. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Stacey Bethune located?

Stacey Bethune practices at 790 Remington Blvd, Bolingbrook, IL 60440. The listed phone number is (630) 296-2222.

What is Stacey Bethune's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stacey Bethune was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.