NPI 1235329749

Alicia Stovell, M.D. PC

Organisation Exclusive Provider Organization Chicago, IL

Practice location

Address: 8741 S Greenwood Ave STE 101, Chicago, IL 60619-7058
Phone: (773) 731-8460
Fax: (773) 731-8461

Authorised official

Name: Alica Ann Stovell
Title: Owner
Phone: (773) 994-9440

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 036-082065 (IL)

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Registry record

NPI: 1235329749
Entity type: Organization
NPI issued: 31 Jul 2007
Record last updated: 10 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.