Individual
DR. LOUIS E ANTONACCI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5301 E STATE ST, SUITE 307A, ROCKFORD, IL 61108-2901
(815) 398-0191
(815) 398-0149
Mailing address
519 SAWGRASS LN, HAMPSHIRE, IL 60140-9678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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