ANTHONY JOSEPH ANDREADIS ATC NPI 1588113492

NPI Information

  • NPI: 1588113492
  • Provider Name: ANTHONY JOSEPH ANDREADIS, ATC
  • Classification: Specialist/Technologist, Other - 246Z00000X
  • Entity Type: Individual
  • Address: 908 WIGWAM HOLLOW RD APT 1
    MACOMB, IL
    ZIP 61455
  • Phone: (973) 223-4863

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NPI Details

Anthony Joseph Andreadis, ATC is a specialist technologist other in Macomb, IL. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Anthony Joseph Andreadis, ATC NPI is 1588113492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

908 WIGWAM HOLLOW RD APT 1
MACOMB, IL
ZIP 61455-153
Phone: (973) 223-4863

The enumeration date for this NPI number is 10/4/2016 and was last updated on 10/4/2016.

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
1246Z00000XSpecialist/Technologist, Other096.003868ILLINOISYes

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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