Individual
DR. ANDREW VASCONCELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 STATE ST, LAWRENCEVILLE, IL 62439-1899
(618) 943-1000
(618) 943-7242
Mailing address
900 NW 13TH ST STE 108, BOCA RATON, FL 33486-2350
(561) 672-0907
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
036173820
IL
207RR0500X
Rheumatology Physician
Primary
LT4364
NH
207RR0500X
Rheumatology Physician
ME137751
FL
Other
Enumeration date
01/30/2013
Last updated
06/30/2025
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