Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Michael Stone

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407458839

Andrew Michael Stone is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (805) 233-2279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (805) 233-2279

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.079441 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407458839
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 10, 2020
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

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