Dr. Reuben Antony
Pediatric Hematology-Oncologist
530 Ne Glen Oak Ave. C/o Ms Suzy Lewellen,
Peoria
, Illinois 61637
Dr. Reuben Antony
Pediatric Hematology-Oncologist
530 Ne Glen Oak Ave. C/o Ms Suzy Lewellen,
Peoria
, Illinois 61637
(646) 784-7829
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Reuben Antony
- 530 Ne Glen Oak Ave. C/o Ms Suzy Lewellen,
- Peoria, IL
- Zip : 61637
- Phone : (646) 784-7829
Second Address
- Dr. Reuben Antony
- 530 Ne Glen Oak Ave. C/o Ms Suzy Lewellen,
- Peoria, IL
- Zip : 61637
- Phone : (646) 784-7829
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 036.128251 | IL |
National Provider Identifier
| NPI | 1265720510 |
|---|---|
| Provider Name | Dr. Reuben Antony |
| First Address | Peoria, IL 61637 |
| Second Address | Peoria, IL 61637 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2011 |
| Last Update Date | 20/07/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.