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Individual

DR. ANTHONY E PROSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2132 W JEFFERSON ST, SUITE A, JOLIET, IL 60435-6622
(815) 744-7762
(815) 744-7861
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 460-9836
(708) 460-1117

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036047541
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036047541
IL
01
09900406
BCBS IL
IL
01
1235120668
CORP NPI#
Enumeration date
11/03/2005
Last updated
06/29/2011
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