Individual
DR. MARY ELIZABETH STAPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5114 N GLEN PARK PLACE RD, DEPT OF COMBINED INTERNAL MEDICINE-PEDIATRICS, PEORIA, IL 61614-4686
(309) 683-5600
Mailing address
530 NE GLEN OAK AVE, DEPT OF COMBINED INTERNAL MEDICINE-PEDIATRICS, PEORIA, IL 61637-0001
(309) 655-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125056763
IL
208000000X
Pediatrics Physician
Primary
036129257
IL
Other
Enumeration date
06/19/2009
Last updated
04/24/2025
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