Stovell, Alicia Ann

Stovell, Alicia Ann is an sole proprietor health care provider with primary practice located at 8541 S State St , Chicago IL 60619-5665. She recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as her primary health care specialty. Stovell, Alicia Ann can be contacted via phone (773) 994-9440.

Contact Information

Primary practice address
8541 S State St Chicago IL 60619-5665
Fax: (773) 994-8166
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X Illinois

Profile Details

NPI number 1477624120
LBN Legal business name Stovell, Alicia Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Mar 7th, 2023 - about last year

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 1477624120 NPPES
Illinois Other 1621812 BLUECROSS PROVIDER NUMBER
Illinois Other 7739949440 BLUECROSS PROVIDER NUMBER
Illinois Other IL5099 BLUECROSS PROVIDER NUMBER

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