Individual provider · NPI-1

Dr. Alexis Ayonote, M.D.

Internal Medicine, Gastroenterology · Mattoon, IL

NPI number1013023449
StatusActive
Last updated in NPPESJul 25, 2024

Details

NPI
1013023449
Entity type
Individual (NPI-1)
Name
Dr. Alexis Ayonote
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 21, 2006
Certification date
Jul 25, 2024
Last updated
Jul 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology036-109650ILYes
207R00000X Internal Medicine036-109650IL

Practice location

1000 Health Center Dr
Mattoon, IL 61938-4644

Phone 217-258-4155

Mailing address

Po Box 372
Mattoon, IL 61938-0372

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