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
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
10/26/2025
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