Individual
HECTOR LANTIGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3100
(217) 383-4468
Mailing address
611 W. PARK STREET, PEDIATRIC SPECIALTIES, CARLE, URBANA, IL 61801
(217) 383-3100
(217) 383-4468
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
036150518
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/12/2014
Last updated
02/09/2022
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