Doctor profile · Federal record
Dr. Stacey Phan, D.O.
General Practice Physician · Normal, IL
- NPI 1235263385
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1300 Franklin Ave Ste 100
Normal, IL 617613676
(309) 268-3455
fax (309) 268-5620 - Mailing address
-
6801 Green Meadow Ln
Oklahoma City, OK 731323957
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 208D00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235263385. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hologic Sales and Service, LLC | 1 | $22.90 |
By nature of payment
Frequently asked questions
What is Dr. Stacey Phan's medical specialty?
Dr. Stacey Phan practices General Practice Physician in Normal, IL.
Where does Dr. Stacey Phan practice?
Dr. Stacey Phan practices at 1300 Franklin Ave Ste 100, Normal, IL 617613676. Office phone: 3092683455.
What is Dr. Stacey Phan's NPI?
Dr. Stacey Phan's National Provider Identifier (NPI) is 1235263385, issued by NPPES.