Search › Illinois › 208000000X
Amanda Stovall, M.D
NPI 1043605447 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5208 N Weaverridge Blvd
Peoria, IL 61615 - Phone
- (502) 418-2991
Additional practice sites
- 705 Riley Hospital Dr, Indianapolis, IN
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 390200000X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois