# ALESSANDRO MARCO ANTONINI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154342798
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070016012 | IL | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 09/02/2008

## 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 |