Individual
DR. ANTONIO ALBERTO CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901
(618) 549-0721
(618) 457-0469
Mailing address
1239 E MAIN ST, CARBONDALE, IL 62901-3175
(618) 457-5200
(618) 529-0586
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.131709
IL
207P00000X
Emergency Medicine Physician
036131709
IL
207P00000X
Emergency Medicine Physician
125.057966
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.131709
—
IL
Enumeration date
06/25/2010
Last updated
10/09/2019
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