Organization
KRISTIN STAHL MD PC
Active
Other names
Heartland Pediatrics, Dale Avenue Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN E STAHL (BILLING MANAGER)
(314) 833-5437
Entity
Organization
Contact information
Practice address
101 UNITED DR, SUITE 110, COLLINSVILLE, IL 62234-7428
(618) 855-9041
(618) 855-9046
Mailing address
101 UNITED DR, SUITE 110, COLLINSVILLE, IL 62234-7428
(618) 855-9041
(618) 855-9046
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
036100294
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361002943
—
IL
01
—
119414
BLUE CHOICE OF MISSOURI
IL
01
—
1202462
UNITED HEALTHCARE
IL
01
—
164815
GHP
IL
01
—
205323819
205323819
IL
01
—
412708
HEALTHLINK
IL
01
—
6032067
BCBS OF ILLINOIS
IL
01
—
7084003
AETNA
IL
01
—
PC19811
CIGNA
IL
Enumeration date
12/11/2006
Last updated
04/15/2025
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