Individual
DR. REUBEN ANTONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE., C/O MS SUZY LEWELLEN,, PEORIA, IL 61637
(646) 784-7829
Mailing address
530 NE GLEN OAK AVE., C/O MS SUZY LEWELLEN,, PEORIA, IL 61637
(646) 784-7829
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
036.128251
IL
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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