Individual
AAMIR S ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1005 HEALTH CENTER DR STE 100, MATTOON, IL 61938-4637
(217) 258-4006
(217) 258-4120
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.172725
IL
Other
Enumeration date
04/15/2021
Last updated
01/17/2025
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