Search › Illinois › 363A00000X
Amy Stites, PA-C
NPI 1043676109 · on the registry since 2016
Practice
- Address
- 1709 Tullamore Ave Ste C
Bloomington, IL 61704 - Phone
- (309) 454-5900
- Fax
- (309) 454-2820
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-26
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