SearchIllinois1223G0001X

Keith Stewart, DMD

NPI 1841277696 · on the registry since 2005 · sole proprietor

Practice

Address
2401 W Main St
Marion, IL 62959
Phone
(618) 993-4109
Organisation at this address
Vamc
Marion Vamc
Veterans Affairs
Va Medical Center
Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
417

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-12-21

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