Individual
ANTHONY JOSEPH ANDREADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
908 WIGWAM HOLLOW RD APT 1, MACOMB, IL 61455-4153
(973) 223-4863
Mailing address
908 WIGWAM HOLLOW RD, APT 1, MACOMB, IL 61455-4152
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
096.003868
IL
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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