Stacey Thao Phan, DO
Stacey Thao Phan, DO is a General Practice Physician in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
1300 Franklin Ave Ste 100Normal, IL 61761-3676
Phone: (309) 268-3455
Fax: (309) 268-5620
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X (IL) |
|---|
Record details
| NPI number | 1235263385 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | March 14, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 6801 Green Meadow Ln, Oklahoma City, OK 73132-3957 |