Individual
DR. ALICIA ANN STOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
8541 S STATE ST, CHICAGO, IL 60619-5665
(773) 994-9440
(773) 994-8166
Mailing address
8541 S. STATE ST., CHICAGO, IL 60619
(773) 994-9440
(773) 994-8166
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621812
BLUECROSS PROVIDER NUMBER
IL
01
—
7739949440
VSP .VISION PLAN
IL
01
—
IL5099
EYEMED VISION PLAN
IL
Enumeration date
11/13/2006
Last updated
03/07/2023
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