Individual
DR. IVAN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 ROBINSON ST, DANVILLE, IL 61832-8515
(217) 442-8611
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-8107
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125049672
IL
Other
Enumeration date
06/25/2008
Last updated
04/14/2023
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