Individual
ANTONY V ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
16540 S NOTTINGHAM CT, LOCKPORT, IL 60441-6289
(630) 363-6785
Mailing address
16540 S NOTTINGHAM CT, LOCKPORT, IL 60441-6289
(630) 363-6785
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.024313
IL
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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