Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Ray Agatucci, MD

Individual provider Pediatrics Physician · NPI 1457534810

Anthony Ray Agatucci, MD is a Pediatrics Physician in Springfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4809 Blackwolf Rd
Springfield, IL 62711-7856
Phone: (217) 787-6533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (IL)

Record details

NPI number1457534810
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 8, 2007
Last updated in NPPESDecember 8, 2007
Mailing address4809 Blackwolf Rd, Springfield, IL 62711-7856

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