Individual
MR. ANDREW J DONOFRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 N WALL ST, KANKAKEE, IL 60901-2942
(844) 404-4787
(815) 936-3243
Mailing address
500 N WALL ST, KANKAKEE, IL 60901-2942
(844) 404-4787
(815) 936-3243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010078
VA
363A00000X
Physician Assistant
085006333
IL
Other
Enumeration date
09/08/2017
Last updated
07/10/2024
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