Elizabeth A Antoo, MD
Family Medicine in Kenosha, WI. Individual provider (NPI-1).
NPI number1760422240
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1760422240
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth A Antoo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2006
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 49010 | WI | Yes |
Practice location
10400 75th StKenosha, WI 53142-7884
Phone 262-948-7000
Mailing address
806 W Partridge LnMount Prospect, IL 60056-5114
Phone 847-439-6186
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