Jerry Antonini
Jerry Antonini is an Internal Medicine Physician in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
1505 Eastland Dr Ste 320Bloomington, IL 61701-3534
Phone: (309) 661-2368
Fax: (309) 662-9709
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X (IL) |
|---|
Record details
| NPI number | 1386736023 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 29, 2006 |
| Last updated in NPPES | April 9, 2008 |
| Mailing address | 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 |
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