Individual
ANNETTE ILG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 DEACONESS RD, ROSENBERG 2, BOSTON, MA 02215-5321
(440) 670-4200
Mailing address
75 PETERBOROUGH ST, APT 501, BOSTON, MA 02215-4311
(440) 670-4200
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35.154900
OH
207P00000X
Emergency Medicine Physician
Primary
267188
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267188
MASSACHUSETTS LIMITED LICENSE
MA
Enumeration date
06/07/2016
Last updated
07/20/2026
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