Individual provider · Type 1 NPI

Amy J. Stites, PA-C

Physician Assistant · Bloomington, IL

NPI number 1043676109 Active

Practice location

1709 Tullamore Ave Ste C
Bloomington, IL 61704-9603

Call (309) 454-5900 Map

Fax (309) 454-2820

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085005783 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043676109

Amy J. Stites, PA-C's National Provider Identifier is 1043676109, issued on Jan 5, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomington, IL. The record was last updated on Jun 26, 2026.