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1306813506
VICTOR D ANTONACCI
ROCKFORD, IL
NPI
1306813506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 036105867)
Enumeration Date
2006-03-07
Last Update Date
2021-12-17
Business Address
VICTOR D ANTONACCI MD
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114-4937
Phone number: 815-398-9491
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Mailing Address
VICTOR D ANTONACCI MD
BOX 78534
MILWAUKEE, WI 53278
Phone number: 815-398-9491
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