IndividualActive
Clifton Stewart, RSA
NPI 1962182154 · Peer Specialist · Merrionette Park, IL
Provider details
- NPI number
- 1962182154
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- RSA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
11560 S Kedzie Ave
Merrionette Park, IL 60803-4517
Phone: (708) 914-5800
Approximate (ZIP-level) locationGet directions
Mailing address
11560 S Kedzie Ave
Merrionette Park, IL 60803-4517
Additional practice locations (1)
- 11560 S Kedzie AveMerrionette Park, IL 60803-4517Phone: (708) 914-5800
Registry dates
- Enumerated
- 2023-07-21
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.