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Individual

ELIZABETH A ANTOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7000
Mailing address
806 W PARTRIDGE LN, MOUNT PROSPECT, IL 60056-5114
(847) 439-6186

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49010
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34835200
WI
Enumeration date
06/07/2006
Last updated
11/18/2021
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