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

Stephanie Menezes

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063162063

Stephanie Menezes is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 3902000000X

Record details

NPI number1063162063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

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