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Individual

DR. JOHN D. STOKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 WINDSOR RD, CHAMPAIGN, IL 61822-6217
(217) 366-5434
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-8107
(217) 366-6106

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036-110577
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036110577 1
IL
01
279500
MEDICARE GROUP
01
P00093611
RAILROAD MEDICARE
Enumeration date
08/04/2006
Last updated
03/03/2015
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