Individual
DR. VASANTHA L. ANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2901 N. KNOXVILLE AVE., PEORIA, IL 61603
(309) 688-7010
(309) 688-7044
Mailing address
2901 N. KNOXVILLE AVE., PEORIA, IL 61603
(309) 688-7010
(309) 688-7044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036123747
IL
Other
Enumeration date
09/08/2010
Last updated
12/20/2010
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