JERRY ANTONINI


Address: 1505 Eastland Drive, Suite 320, Bloomington, IL 61701-3534
Phone: 3096612368

JERRY ANTONINI (NPI# 1386736023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386736023
Entity Type Individual
Full Name JERRY ANTONINI
Practice Address 1505 Eastland Drive
Suite 320
Bloomington
IL 61701-3534
Mailing Address 1505 Eastland Dr
Suite 320
Bloomington
IL 61701-3534
Practice Telephone 3096612368
Practice Fax Number 3096629709
Mailing Telephone 3096625361
Mailing Fax Number 3096635742
Enumeration Date 2006-09-29
Last Update Date 2008-04-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1505 EASTLAND DRIVE
SUITE 320
City BLOOMINGTON
State IL
Zip Code 61701-3534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447599071 Monique Rynties Physician Assistant 1505 Eastland Drive, Bloomington, IL 61701-7905 2013-02-01
1477782845 Heartcare Midwest General Acute Care Hospital 1505 Eastland Drive, Suite 330, Bloomington, IL 61701 2009-07-07
1902936636 Dawn Marie Zywiec Counselor 1505 Eastland Drive, Ll 1000 Eastland Psychological Services Ltd, Bloomington, IL 61701 2007-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
Find all providers in zip 61701

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255857926 Kare Clinic Internal Medicine 1696 W Hennessey St, Bloomington, IN 47403-4645 2017-08-15
1669756060 Dhanasarn Mongkolsmai Internal Medicine 2206 Berrywood Ln, Bloomington, IL 61704-2448 2011-10-04
1982906566 Guy H Waldo Internal Medicine 9133 S Front Nine Drive, Bloomington, IN 47401-8151 2010-12-02
1154556843 Primary Care Specialists, LLC Internal Medicine 2 Airline Dr, Suite 500, Bloomington, IL 61704-3433 2009-05-25
1790922201 John Leeper Mcnay Jr. Internal Medicine 2032 S. Ramsey Dr., Bloomington, IN 47401-7153 2009-01-21
1790947539 Jared A Frazin Internal Medicine 9332 Rich Rd, Bloomington, MN 55437-2074 2008-07-01
1114124575 Joseph Michael Mackey Internal Medicine 1011 West Second Street, Bloomington, IN 47403-2216 2007-06-29
1588867386 Virgil D. Short Internal Medicine 326 Fairway Dr, Bloomington, IL 61701-3462 2007-06-08
1013086792 Daniel R Berg Md PC Internal Medicine 2620 North Walnut Street, Suite 400, Bloomington, IN 47404 2006-11-07
1689784548 David J. Stevens Internal Medicine 637 S. Walker Street, Suite 2, Bloomington, IN 47403-2175 2006-08-30
Find all providers in BLOOMINGTON

Competitor

Search similar providers

City BLOOMINGTON
Zip Code 61701

Improve Information

Please comment or provide details below to improve the information on JERRY ANTONINI.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches