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Search › Illinois › 208D00000X

Stacey Phan, D.O

NPI 1235263385 · on the registry since 2007

Practice

Address
1300 Franklin Ave Ste 100
Normal, IL 61761
Phone
(309) 268-3455
Fax
(309) 268-5620
Organisation at this address
Bromenn Healthcare
Nona Fulk, M.D., S.C.
David M Skillrud Md Ltd
Quimby Dermatology, Ltd.
Premier Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
208D00000X
208D00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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