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DR. JESSICA JOAN STACKO DMD
NPI 1417635665
Dentist - General Practice in Chicago, IL

Active since July 07, 2023
1525 E 53RD ST STE 734, CHICAGO, IL 60615(773) 643-6006 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jessica Joan Stacko Dmd NPPES

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

DR. JESSICA JOAN STACKO DMD (NPI 1417635665) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019034433) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1417635665
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JESSICA JOAN STACKOCredential: DMD
Location Address1525 E 53RD ST STE 734Chicago, IL 60615-4575
Mailing Address1525 E 53rd St Ste 734Chicago, IL 60615-4575 · (773) 643-6006
Phone(773) 643-6006
Sole ProprietorYes
Enumeration DateJuly 7, 2023
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1417635665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019034433
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1525 E 53RD ST STE 734, Chicago, IL 60615
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Other Providers at the Same Location NPPES 5

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

KAUFMAN AND KAUFMAN SLEEP CENTER LLC
Durable Medical Equipment & Medical Supplies
1525 E 53RD ST STE 734
CHICAGO, IL 60615
Cook County (773) 643-6006
WEI TING HO DDS, MS
Dentist (Periodontics)
1525 E 53RD ST STE 734
CHICAGO, IL 60615
Cook County (773) 643-6006
LOUIS R KAUFMAN DDS
Dentist (General Practice)
1525 E 53RD ST STE 734
CHICAGO, IL 60615
Cook County (773) 643-6006
RICHARD I. KAUFMAN & LOUIS R KAUFMAN DDS
Dentist (General Practice)
1525 E 53RD ST STE 734
CHICAGO, IL 60615
Cook County (773) 643-6006
DENNIS GAN DMD
Dentist
1525 E 53RD ST STE 734
CHICAGO, IL 60615
Cook County (857) 574-0150

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 Jessica Stacko's NPI number?

The NPI number for Jessica Stacko is 1417635665. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Jessica Stacko located?

Jessica Stacko practices at 1525 E 53rd St Ste 734, Chicago, IL 60615. The listed phone number is (773) 643-6006.

What is Jessica Stacko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jessica Stacko was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.