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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTHONY JOSEPH ANDREADIS, ATC

Active Sole Proprietor

ANTHONY JOSEPH ANDREADIS, ATC is a Specialist/Technologist, Surgical healthcare provider located in MACOMB, Illinois. NPI 1588113492 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · MACOMB, IL

Registration Details

NPI Number
1588113492
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2016 (9.846390134984 yrs)
Last Updated
Oct 4, 2016
License
096.003868 (IL)
Sole Proprietor
Yes

Practice Information

Address
908 WIGWAM HOLLOW RD APT 1
MACOMB, IL, 614554153
Browse IL providers · Browse ZIP 61455
Phone
9732234863
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.