Individual
DR. KRISTIN V STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
101 UNITED DR, SUITE 110, COLLINSVILLE, IL 62234-7428
(618) 855-9041
(618) 855-9046
Mailing address
101 UNITED DR, SUITE 110, COLLINSVILLE, IL 62234-7428
(618) 855-9041
(618) 855-9046
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036100294
IL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036100294
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100294-3
—
IL
01
—
050558664
GREAT WEST
IL
01
—
1202462
UNITED HEALTHCARE
IL
01
—
164815
GHP OPEN ACCESS
IL
01
—
205323819
MISSOURI MEDICAID
IL
01
—
412708
HEALTHLINK
IL
01
—
6032067
BC BS OF ILLINOIS
IL
01
—
7084003
AETNA
IL
01
—
PC19811
CIGNA
IL
Enumeration date
12/06/2006
Last updated
04/15/2025
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