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
Phone: (773) 994-9440
Fax: (773) 994-8166
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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