Individual
MR. ANDREW VANNATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1303 W EVERGREEN AVE, SUITE 101, EFFINGHAM, IL 62401-1619
(217) 342-3400
(217) 342-3477
Mailing address
1303 W EVERGREEN AVE, SUITE 101, EFFINGHAM, IL 62401-1619
(217) 342-3400
(217) 342-3477
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
213000290
IL
Other
Enumeration date
02/24/2012
Last updated
05/11/2017
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