Individual
DR. PATRICK KYLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MEDICAL PARK DR STE 100, EFFINGHAM, IL 62401-2191
(217) 347-7400
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
036101783
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101783
—
IL
Enumeration date
11/09/2005
Last updated
01/31/2024
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