DR. INGRID C. ANTONSEN M.D. NPI 1508870601

NPI Information

  • NPI: 1508870601
  • Provider Name: DR. INGRID C. ANTONSEN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1801 WINDSOR RD
    CHAMPAIGN, IL
    ZIP 61822
  • Phone: (217) 366-6104

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NPI Details

DR. Ingrid C. Antonsen, M.D. is a family medicine in Champaign, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Ingrid C. Antonsen, M.D. NPI is 1508870601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1801 WINDSOR RD
CHAMPAIGN, IL
ZIP 61822-217
Phone: (217) 366-6104

The enumeration date for this NPI number is 7/27/2006 and was last updated on 9/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036-077650ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080065701OTHERILLINOISRAILROAD MEDICARE
2E49116MEDICARE UPINILLINOIS
3L35331MEDICARE PINILLINOIS
40407950001MEDICARE NSCILLINOIS
5279500OTHERILLINOISMEDICARE GROUP
6036077650-2MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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