DR. ALICIA ANN STOVELL (NPI# 1477624120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477624120 |
Entity Type | Individual |
Full Name | DR. ALICIA ANN STOVELL |
Credential | M.D |
Practice Address |
8541 S State St Chicago IL 60619-5665 |
Mailing Address |
8541 S. State St. Chicago IL 60619 |
Practice Telephone | 7739949440 |
Practice Fax Number | 7739948166 |
Mailing Telephone | 7739949440 |
Mailing Fax Number | 7739948166 |
Enumeration Date | 2006-11-13 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
IL | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUECROSS PROVIDER NUMBER | 1621812 | 01 |
IL | DEA NUMBER | BM3165099 | 01 |
IL | EYEMED VISION PLAN | IL5099 | 01 |
IL | VSP .VISION PLAN | 7739949440 | 01 |
Street Address |
8541 S STATE ST |
City | CHICAGO |
State | IL |
Zip Code | 60619-5665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811978059 | Latifah Sabree | Neuromusculoskeletal Medicine, Sports Medicine | 8541 S State St, Suite 8, Chicago, IL 60619-5665 | 2005-11-07 |
1679868012 | Community Mental Health Council, Inc. | Community/Behavioral Health | 8541 S State St, Chicago, IL 60619-5665 | 2011-06-14 |
1215267786 | Medical Associates of Chatam, Ltd | Clinic/Center | 8541 S State St, Suite #9, Chicago, IL 60619-5665 | 2010-01-06 |
1972731172 | Kortnee Y. Roberson | Family Medicine | 8541 S State St, Suite 4, Chicago, IL 60619-5665 | 2009-06-25 |
1578754958 | Shelley Allison Sandiford | Family Medicine | 8541 S State St, Chicago, IL 60619 | 2007-08-09 |
1992902597 | Pierre Rene Noisette Md Sc | Pediatrics | 8541 S State St, Suite 1, Chicago, IL 60619-5665 | 2007-06-28 |
1275758260 | Valencia M Ray Md Sc | Ophthalmology | 8541 S State St, Suite 5, Chicago, IL 60619-5665 | 2007-04-16 |
1457484586 | Evelyn Frances Taylor Currie | Internal Medicine | 8541 S State St, Suite1, Chicago, IL 60619-5665 | 2007-03-14 |
1366572380 | Raj K Goyal Md Sc | Ophthalmology | 8541 S State St, Suite # 5, Chicago, IL 60619-5665 | 2007-03-07 |
1952498248 | Vijaya K Sarma | Internal Medicine | 8541 S State St, Ste#9, Chicago, IL 60619-5665 | 2006-10-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457985061 | Tonia Dorsey | Durable Medical Equipment & Medical Supplies | 951 E 80th Street, Apt 1, Chicago, IL 60619 | 2020-02-24 |
1821635509 | Lisa Strader | Technician | 8605 S. Dorchester, Chicago, IL 60619 | 2019-12-02 |
1821647579 | Deborah Joves | Technician | 8258 S. Woodlawn Ave, Chicago, IL 60619 | 2019-09-05 |
1194372458 | Cognitive Focus Centers, Inc. | Clinic/Center | 901 E 95th St, Chicago, IL 60619 | 2019-08-21 |
1588136360 | Zantraquilla Z Madkins | Transportation Broker | 7829 South Wabash, Chicago, IL 60619 | 2018-12-18 |
1619447497 | Bria Stanciel | Case Manager/Care Coordinator | 8419 S Cottage Grove, Chicago, IL 60619 | 2018-12-05 |
1184153520 | Jordane Kelley | Nurse's Aide | 7339 S Wabash Ave, Chicago, IL 60619 | 2017-06-08 |
1205362977 | Kristen Suing | Psychologist | 1111 E 87th St Ste 300, Chicago, IL 60619 | 2017-05-02 |
1720525280 | Senior Healthcare Services Inc | Physical Therapist | 9133 South Stoney Island, Chicago, IL 60619 | 2017-01-23 |
1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
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Taxonomy Code | 156FX1100X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ophthalmic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760979736 | Emerging Vision Inc | Technician/Technologist | 520 N. Michigan Ave, The Shops North Bridge, Ste 124, Chicago, IL 60611 | 2018-04-16 |
1285794362 | Tatjana K Pavlovic | Technician/Technologist | 2719 W Peterson Ave, Chicago, IL 60659-3919 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
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1033353644 | Gailey Eye Clinic, Ltd | Technician/Technologist | 2435 Village Green Pl, Champaign, IL 61822-7676 | 2009-04-27 |
1083819718 | Gailey Eye Clinic, Ltd | Technician/Technologist | 47 E Liberty Ln, Danville, IL 61832-1440 | 2007-06-21 |
1184829814 | Gailey Eye Clinic, Ltd | Technician/Technologist | 322 W Marion Ave, Forsyth, IL 62535-1064 | 2007-06-21 |
1275738908 | Gailey Eye Clinic, Ltd | Technician/Technologist | 4927 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-06-21 |
1487859401 | Gailey Eye Clinic, Ltd | Technician/Technologist | 2121 Marquette Rd, Peru, IL 61354-1588 | 2007-06-19 |
1467582460 | Robert S. Baller, Md,pc | Technician/Technologist | 210 1-2 N Williamsburg Drive, Bloomington, IL 61704 | 2007-03-07 |
1861509051 | Joseph E Frydman, Md,sc | Technician/Technologist | 2634 Grand Ave Ste 201, Waukegan, IL 60085-2460 | 2006-08-24 |
1013961044 | Arbor Centers for Eye Care | Technician/Technologist | 11600 South Kedzie Ave, Merrionette Park, IL 60803 | 2006-05-22 |
1538799895 | Kortney Kathleen Marszalek | Technician/Technologist | 9645 Lincolnway Ln, Frankfort, IL 60423-1866 | 2020-01-24 |
1154650539 | Daniel S Tresley P C | Technician/Technologist | 500 Skokie Blvd, #120, Northbrook, IL 60062-2856 | 2009-12-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.