Individual
SCOTT STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 W PARK ST, BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Mailing address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3303
(217) 383-3265
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209010578
IL
Other
Enumeration date
08/02/2013
Last updated
04/29/2025
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