Individual
FERNANDO AGUIRRE AMEZQUITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 N 9TH ST, SPRINGFIELD, IL 62702-5303
(217) 545-5117
(217) 545-9217
Mailing address
PO BOX 19640, SPRINGFIELD, IL 62794-9640
(217) 545-5117
(217) 545-9217
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125065574
IL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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