Search › Illinois › 152W00000X
Molly Stacks, OD
NPI 1164126793 · on the registry since 2023
Practice
- Address
- 2121 S State Route 157
Edwardsville, IL 62025 - Phone
- (618) 656-7774
- Fax
- (618) 656-0536
- Clinicians at this address
- 2
Additional practice sites
- 3405 Nameoki Rd, Granite City, IL
- 6663 Edwardsville Crossing Dr, Edwardsville, IL
- 601 Belt Line Rd, Collinsville, IL
- 1819 Homer M Adams Pkwy, Alton, IL
- 10 Lincoln Hwy Ste 101, Fairview Heights, IL
- 12603 State Route 143 Ste F, Highland, IL
- 2645 N Illinois St, Swansea, IL
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-11
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