Individual
MICHAEL ROMANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST, SPRINGFIELD, IL 62702-6700
(217) 545-6112
(217) 545-2588
Mailing address
PO BOX 19653, SPRINGFIELD, IL 62794-9653
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
125.072645
IL
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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