Stedwill, Jeffrey E.

Stedwill, Jeffrey E. is an individual health care provider with primary practice located at 100 Ne Randolph Ave , Peoria IL 61606-1919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Stedwill, Jeffrey E. can be contacted via phone (309) 624-8550.

Contact Information

Primary practice address
100 Ne Randolph Ave Peoria IL 61606-1919
Phone: (309) 624-8550
Fax: (309) 624-8697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-096932 Illinois

Profile Details

NPI number 1497775373
LBN Legal business name Stedwill, Jeffrey E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497775373 NPPES
Other 815940 MEDICARE GROUP NO.

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