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1508870601
INGRID C. ANTONSEN
CHAMPAIGN, IL
NPI
1508870601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-077650)
Enumeration Date
2006-07-27
Last Update Date
2008-09-25
Business Address
DR. INGRID C. ANTONSEN M.D.
1801 WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-6104
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Mailing Address
DR. INGRID C. ANTONSEN M.D.
1801 WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-6104
Copy
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