Ingrid C. Antonsen in Champaign - Family Medicine

Ingrid C. Antonsen - NPI 1508870601

Ingrid C. Antonsen is a Family Medicine in Champaign, Illinois. Ingrid C. Antonsen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ingrid C. Antonsen is 1508870601. The last update date is 2008-09-25.

Ingrid C. Antonsen's current location address is 1801 Windsor Rd, Champaign, Illinois. You can contact this provider via phone number 2173666104. The mailing address for Ingrid C. Antonsen is 1801 Windsor Rd, Champaign, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Ingrid C. Antonsen
Address 1801 Windsor Rd, Champaign, Illinois
Phone Number 2173666104
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1508870601
Provider Enumeration Date 2006-07-27
Last Updated Date 2008-09-25

Provider Mailing Address Detail

Address 1801 Windsor Rd
City Champaign
State Illinois (IL)
Post Code 618226217
Phone Number 2173666104
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 036-077650
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
036077650-2 IL --
279500 IL MEDICARE GROUP
80065701 IL RAILROAD MEDICARE

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FAQs about Ingrid C. Antonsen

What is the unique 10-digit identification code issued to Ingrid C. Antonsen by the Centers for Medicare & Medicaid Services?

The Ingrid C. Antonsen has been assigned the NPI (National Provider Identifier) 1508870601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Ingrid C. Antonsen is located?

The Ingrid C. Antonsen is situated at the following address: 1801 Windsor Rd, Champaign, IL, 618226217.

What is the Ingrid C. Antonsen's area of specialization and corresponding taxonomy classification?

The Ingrid C. Antonsen's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508870601 to Ingrid C. Antonsen?

The Centers for Medicare & Medicaid Services originally issued the 1508870601 to Ingrid C. Antonsen on 2006-07-27.

When was the information pertaining to Ingrid C. Antonsen most recently updated or revised?

The details related to Ingrid C. Antonsen, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-25.

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