Steven John Antonini, MD
Pediatrics in Mokena, IL. Individual provider (NPI-1).
NPI number1114004652
StatusActive
Last updated in NPPESMar 1, 2022
Details
- NPI
- 1114004652
- Entity type
- Individual (NPI-1)
- Name
- Steven John Antonini
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2006
- Certification date
- Mar 1, 2022
- Last updated
- Mar 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 036076951 | IL | Yes |
| 208000000X | Pediatrics | 036-076951 | IL | |
| 207R00000X | Internal Medicine | 036076951 | IL |
Practice location
21205 Owens Rd Ste 3Mokena, IL 60448-2023
Phone 815-469-2123 · Fax 815-469-2149
Mailing address
21205 Owens Rd Ste 3Mokena, IL 60448-2023
Phone 815-469-2123 · Fax 815-469-2149
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