Individual
ADAM JOHN STOCKSIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN AVE, PEORIA, IL 61637-1000
(309) 525-2996
Mailing address
143 NEUMANN LN, EAST PEORIA, IL 61611-3545
(309) 642-4703
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.029200041.433227
IL
Other
Enumeration date
06/19/2023
Last updated
02/13/2024
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