IAN VANANTWERP

SPRINGFIELD, IL
NPI1962080689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  125078762)
Enumeration Date2021-04-01
Last Update Date2023-03-28
Business Address
IAN VANANTWERP DO
701 N FIRST ST RM D442
SPRINGFIELD, IL 62769-1000
Phone number: 217-545-0193
Mailing Address
IAN VANANTWERP DO
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-8000
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