Individual
DR. ANA MIGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2601 W MAIN ST, CARBONDALE, IL 62901-1031
(618) 549-5361
(618) 351-4878
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036083484
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027532
HAMP INSURANCE #
IL
05
—
036083484
—
IL
01
—
142064
GHP INSURANCE PROVIDER #
IL
01
—
176923
HEALTHLINK INSURANCE #
IL
01
—
324145
GHP PROVIDER NUMBER
IL
01
—
3932056
BCBS OF IL
IL
01
—
7210895
AETNA
IL
01
—
80037470
RR MEDICARE
IL
Enumeration date
03/09/2006
Last updated
11/02/2020
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