JERRY ANTONINI

BLOOMINGTON, IL
NPI1386736023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036-108331)
Enumeration Date2006-09-29
Last Update Date2008-04-09
Business Address
-- JERRY ANTONINI
1505 EASTLAND DRIVE SUITE 320
BLOOMINGTON, IL 61701-3534
Phone number: 309-661-2368
Mailing Address
-- JERRY ANTONINI
1505 EASTLAND DR SUITE 320
BLOOMINGTON, IL 61701-3534
Phone number: 309-662-5361
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