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Dr. Ingrid C. Antonsen, MD
Family Medicine Physician in Champaign, Illinois
NPI 1508870601

Ingrid C. Antonsen is a Family Medicine Physician based in Champaign, IL. Ingrid C. Antonsen practices in Champaign, IL and has the professional credentials of MD. The NPI Number for Ingrid C. Antonsen is 1508870601 and holds a License No. 036-077650 (Illinois).

The current practice location address for Ingrid C. Antonsen is 1801 Windsor Rd, Champaign, IL and can be reached out via phone at 217-366-6104. You can also correspond with Ingrid C. Antonsen through the mailing address at 1801 WINDSOR RD, CHAMPAIGN, IL - 61822-6217 (mailing address contact number: 217-366-6104).

Location: 1801 Windsor Rd, Champaign, IL, 61822-6217
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Provider Profile Details
NPI Number
1508870601
Provider Name
Ingrid C. Antonsen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1801 Windsor Rd, Champaign, IL, 61822-6217
Phone Number
217-366-6104
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036077650-2 05 IL
279500 01 IL MEDICARE GROUP
080065701 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1801 Windsor Rd
City
State
Zip
61822-6217
Phone Number
217-366-6104
Fax Number
person
Provider Business Mailing Address Details
Address
1801 Windsor Rd
City
State
Zip
61822-6217
Phone Number
217-366-6104
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036-077650 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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