Search › Illinois › 225100000X
Shane Stufflebeam
NPI 1437067329 · on the registry since 2026
Practice
- Address
- 5009 N Glen Park Place Rd
Peoria, IL 61614 - Phone
- (309) 683-8170
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois