institution
Kristin Stahl Md Pc
Primary Care Clinic/Center in Collinsville, Illinois
NPI 1336209329

Kristin Stahl Md Pc is a Primary Care Clinic/Center based in Collinsville, IL and is specialized in Primary Care. Kristin Stahl Md Pc practices in Collinsville, IL. The NPI Number for Kristin Stahl Md Pc is 1336209329 and holds a License No. 036100294 (Illinois).

The current practice location address for Kristin Stahl Md Pc is 101 United Dr, Collinsville, IL and can be reached out via phone at 618-855-9041 and via fax at 618-855-9046.

Location: 101 United Dr, Collinsville, IL, 62234-7428
institution
Provider Profile Details
NPI Number
1336209329
Provider Name
Kristin Stahl Md Pc
Credential
Provider Entity Type
Organization
Address
101 United Dr, Collinsville, IL, 62234-7428
Phone Number
618-855-9041
Fax Number
618-855-9046
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6032067 01 IL BCBS OF ILLINOIS
0361002943 05 IL
164815 01 IL GHP
7084003 01 IL AETNA
119414 01 IL BLUE CHOICE OF MISSOURI
1202462 01 IL UNITED HEALTHCARE
205323819 01 IL 205323819
PC19811 01 IL CIGNA
412708 01 IL HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
101 United Dr
City
State
Zip
62234-7428
Phone Number
618-855-9041
Fax Number
618-855-9046
person
Provider Business Mailing Address Details
Address
101 United Dr
City
State
Zip
62234-7428
Phone Number
618-855-9041
Fax Number
618-855-9046
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
036100294 (Illinois)
Definition
Definition to come...
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