Individual
ADREE VENATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
168 COURTYARD SQUARE, SBL TOLEDO CLINIC, TOLEDO, IL 62468
(217) 849-3151
(217) 849-3123
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036131255
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036131255001
—
IL
Enumeration date
07/13/2009
Last updated
02/05/2020
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