Individual
ERIK CHRISTIAN STABELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PROFESSIONAL DR, SUITE 220, ALTON, IL 62002-5068
(618) 463-8610
(618) 463-8688
Mailing address
1 PROFESSIONAL DR SUITE 220, ALTON, IL 62002-5068
(618) 463-8500
(618) 463-8688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-069182
IL
207RI0200X
Infectious Disease Physician
036-069182
IL
207RI0200X
Infectious Disease Physician
R6N20
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069182
—
IL
01
—
207219
PTAN
IL
05
—
207945908
—
MO
Enumeration date
08/19/2005
Last updated
03/27/2024
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