Individual
ANNDREA DISTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
(708) 398-0287
Mailing address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1679367361
IL
Other
Enumeration date
04/07/2025
Last updated
07/08/2025
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