Provider Demographics
NPI:1427360429
Name:HILL, STEPHEN WALTER (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:WALTER
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3024 E EMPIRE ST STE 3A
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61704-5402
Mailing Address - Country:US
Mailing Address - Phone:309-556-7700
Mailing Address - Fax:309-556-7776
Practice Address - Street 1:3024 E EMPIRE ST STE 3A
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704-5402
Practice Address - Country:US
Practice Address - Phone:309-556-7700
Practice Address - Fax:309-556-7776
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.132741207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine