Individual
DR. MAGDALENA ANIA IANNELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-2588
Mailing address
PO BOX 19653, SPRINGFIELD, IL 62794-9653
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
125.087218
IL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
125.087218
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
06/02/2026
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