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1063096360
STEVEN IPPOLITO
SPRINGFIELD, IL
NPI
1063096360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 125077591)
Enumeration Date
2021-05-12
Last Update Date
2021-05-12
Business Address
STEVEN IPPOLITO MD
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701-1035
Phone number: 217-545-8229
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Mailing Address
STEVEN IPPOLITO MD
PO BOX 19642
SPRINGFIELD, IL 62794-9642
Phone number: 217-545-8229
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