Search › Illinois › 164W00000X
Andrew Easton
NPI 1295215374 · on the registry since 2018
Practice
- Address
- 1143 Midway Ct Apt D
Marion, IL 62959 - Phone
- (618) 964-0463
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois