Individual
DR. JANDA TERESE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 W CARPENTER ST, SPRINGFIELD, IL 62702-4902
(217) 528-7541
(217) 606-3035
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036126564
IL
207P00000X
Emergency Medicine Physician
4301083809
MI
207P00000X
Emergency Medicine Physician
MD60073279
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036126564 1
—
IL
05
—
8551186
—
WA
01
—
P00470689
RAILROAD MEDICARE
MI
Enumeration date
04/12/2007
Last updated
11/11/2025
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