SearchIllinois222Q00000X

Stacie Peters

NPI 1083447858 · on the registry since 2024 · sole proprietor

Practice

Address
3005 Lisa Dr Apt 3
Bloomington, IL 61704
Phone
(309) 307-9416

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Sex
Female
Record last updated
2024-08-26

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