MEDICARE: DR. JOHN D. STOKES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	036-110577	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	279500	OTHER		MEDICARE GROUP
3	P00093611	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376551085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN D. STOKES M.D.

Provider Business Mailing Address
First Line	:	101 W UNIVERSITY AVE
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61820-3909
Country	:	US
Telephone Number	:	217-366-8107
Fax Number	:	217-366-6106

Provider Business Practice Location Address
First Line	:	1801 WINDSOR RD
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61822-6217
Country	:	US
Telephone Number	:	217-366-5434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/05/2026

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Directions to “ DR. JOHN D. STOKES M.D.” Practice Location

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