St Anthony's Physician Organization of Illinois
St Anthony's Physician Organization of Illinois is an Obstetrics & Gynecology Physician in Waterloo, Illinois. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
509 Hamacher St Ste 203Waterloo, IL 62298-1592
Phone: (618) 939-0575
Fax: (618) 939-0577
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Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X |
|---|
Record details
| NPI number | 1568853018 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Venuto — Chief Financial Officer · (314) 525-7340 |
| Other names | St Anthony'S At Waterloo Ob/Gyn Specialists |
| NPI enumerated | February 5, 2015 |
| Last updated in NPPES | February 5, 2015 |
| Mailing address | 509 Hamacher St, Ste 203, Waterloo, IL 62298-1592 |
Other providers in Waterloo
-
Stephanie Skelly, MD
723 Station Xing, Waterloo, IL 62298-1886 · (618) 939-1551