Individual
CYNTHIA ANAGNOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 664-3120
Mailing address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 664-3120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.003407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL2613035
IL2613
IL
Enumeration date
02/14/2009
Last updated
01/26/2010
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