Individual
KEVIN RICHARD STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2760
(847) 570-2921
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
144036
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
209029883
IL
Other
Enumeration date
05/17/2023
Last updated
07/30/2025
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