Individual
DR. ANTHONY JOHN CUTINELLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10 SAINT CLARE CT STE 100, WASHINGTON, IL 61571-9239
(309) 886-4000
Mailing address
10 SAINT CLARE CT STE 100, WASHINGTON, IL 61571-9239
(309) 886-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2917
AZ
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358970
—
AZ
01
—
CA4079
RR GROUP
IL
01
—
P00433546
RR INDIVIDUAL #
IL
Enumeration date
05/11/2006
Last updated
01/16/2008
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