Individual
JOHN A ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 S 5TH AVENUE, PLMS 113, EDWARD HINES VA HOSPITAL, HINES, IL 60141-5113
(708) 202-2609
Mailing address
5000 S 5TH AVENUE, PLMS 113, EDWARD HINES VA HOSPITAL, HINES, IL 60141-5113
(708) 202-2609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036.103492
IL
207ZH0000X
Hematology (Pathology) Physician
036103492
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036103492
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200249680
—
IN
Enumeration date
08/31/2006
Last updated
09/22/2021
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