Individual
ANDREW JOSEPH ILLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1281 E MAIN ST, STAMFORD, CT 06902-3544
(203) 325-4087
(203) 359-9941
Mailing address
1281 E MAIN ST, STAMFORD, CT 06902-3544
(203) 325-4087
(203) 359-9941
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
051324
CT
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
051324
CT
Other
Enumeration date
07/23/2008
Last updated
05/23/2016
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