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

Stanley Jay Noll, MD

Individual provider Family Medicine Physician · NPI 1952830036

Stanley Jay Noll, MD is a Family Practice in Havana, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2017, 9 years ago. Practices with Mason Hospital District, a 39-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

615 N Promenade St
Havana, IL 62644-1243
Phone: (309) 543-6600
Fax: (866) 950-0320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036153332 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125.070704 (IL)

Record details

NPI number1952830036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing addressPo Box 530, Havana, IL 62644-0530

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2017 (9 years in practice)
Group practice Mason Hospital District — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount