SearchIllinois225700000X

Stacey Webb

NPI 1760060446 · on the registry since 2021 · sole proprietor

Practice

Address
1505 W Daytona Dr
Peoria, IL 61614
Phone
(309) 265-7403

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-01

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