Individual
DR. ANN M STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
219 SOUTH ILLINOIS STREET, SUITE D, BELLEVILLE, IL 62220-2161
(618) 236-0028
(618) 222-1933
Mailing address
219 SOUTH ILLINOIS STREET, SUITE D, BELLEVILLE, IL 62220-2161
(618) 236-0028
(618) 222-1933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119174
HEALTHLINK
IL
01
—
4410001
UNITED HEALTH CARE
IL
01
—
8282043
BLUE CROSS BLUE SHIELD
IL
01
—
P00065796
RAILROAD MEDICARE
IL
Enumeration date
06/14/2005
Last updated
10/07/2008
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