IndividualActive
Adam Stocksiek
NPI 1295410132 · Certified Registered Nurse Anesthetist · Peoria, IL
Provider details
- NPI number
- 1295410132
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 209.029200041.433227 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
530 Ne Glen Ave
Peoria, IL 61637-1000
Phone: (309) 525-2996
Approximate (ZIP-level) locationGet directions
Mailing address
143 Neumann Ln
East Peoria, IL 61611-3545
Registry dates
- Enumerated
- 2023-06-19
- Last updated
- 2024-02-13
- Certified
- 2024-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.