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STACEY THAO PHAN D.O.
NPI 1235263385
General Practice in Normal, IL

Active since March 14, 2007
1300 FRANKLIN AVE STE 100, NORMAL, IL 61761(309) 268-3455(309) 268-5620 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Thao Phan D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY THAO PHAN D.O. (NPI 1235263385) is an individual general practice provider in Normal, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1235263385
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSTACEY THAO PHANCredential: D.O.
Location Address1300 FRANKLIN AVE STE 100Normal, IL 61761-3676
Mailing Address6801 Green Meadow LnOklahoma City, OK 73132-3957 · (405) 245-0747
Phone(309) 268-3455
Fax(309) 268-5620
Sole ProprietorNo
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235263385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1300 FRANKLIN AVE STE 100, Normal, IL 61761
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHEL CHRISTINE DALAL D.O.
Family Medicine
1300 FRANKLIN AVE STE 100
NORMAL, IL 61761
McLean County (309) 268-3761
CARLE BROMENN MEDICAL CENTER
Clinic/Center
1300 FRANKLIN AVE STE 100
NORMAL, IL 61761
McLean County (309) 454-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Phan's NPI number?

The NPI number for Stacey Phan is 1235263385. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Stacey Phan located?

Stacey Phan practices at 1300 Franklin Ave Ste 100, Normal, IL 61761. The listed phone number is (309) 268-3455.

What is Stacey Phan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Stacey Phan accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Stacey Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Phan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.