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1962080689
IAN VANANTWERP
SPRINGFIELD, IL
NPI
1962080689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 125078762)
Enumeration Date
2021-04-01
Last Update Date
2023-03-28
Business Address
IAN VANANTWERP DO
701 N FIRST ST RM D442
SPRINGFIELD, IL 62769-1000
Phone number: 217-545-0193
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Mailing Address
IAN VANANTWERP DO
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-8000
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