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Individual
ALESSANDRO MARCO ANTONINI
Active
Individual
ALESSANDRO MARCO ANTONINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016012
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619908
BCBS IL GROUP NUMBER
IL
01
—
1623066
BCBS GROUP #
IL
01
—
200852
MEDICARE GROUP #
IL
01
—
202542
MEDICARE GROUP #
IL
01
—
367885100
U.S. DEPT OF LABOR
IL
01
—
567770
MEDICARE GROUP #
IL
01
—
568080
MEDICARE GROUP NUMBER
IL
Enumeration date
07/21/2006
Last updated
09/02/2008
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