Individual
DR. ANTOINETTE B. LULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
135 N OAK ST, HINSDALE, IL 60521-3860
(630) 856-8900
Mailing address
135 N OAK ST, HINSDALE, IL 60521-3860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036117358
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117358
—
IL
Enumeration date
05/07/2007
Last updated
03/22/2021
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