Individual
CHRISTIE NICOLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Mailing address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003548
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088886
NCCPA
IL
Enumeration date
10/02/2009
Last updated
07/15/2024
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