Dr INGRID C ANTONSEN is a female medical professional, specializing in Family Medicine. She graduated in 1987 from Southern Illinois University School Of Medicine.
CHRISTIE CLINIC, LLC
101 W UNIVERSITY AVE
CHAMPAIGN
IL
618203909
Tel: 2173661200
| Npi | 1508870601 |
| Pac Id | 0042122525 |
| Professional Enrollment Id | I20100819001245 |
| Last Name | ANTONSEN |
| First Name | INGRID |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | CHRISTIE CLINIC, LLC |
| Group Practice Pac Id | 7719899319 |
| Number Of Group Practice Members | 185 |
| Line 1 Street Address | 101 W UNIVERSITY AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 618203909 |
| Phone Number | 2173661200 |
| Hospital Affiliation Ccn 1 | 140113 |
| Hospital Affiliation Lbn 1 | PRESENCE COVENANT MEDICAL CENTER- URBANA |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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