Ingrid C Antonsen (NPI# 1508870601, PAC ID# 0042122525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1508870601 |
| PAC ID by PECOS | 0042122525 |
| Professional Enrollment ID | I20100819001245 |
| Full Name | Ingrid C Antonsen |
| Organization Legal Name | CHRISTIE CLINIC, LLC |
| Address |
1710 E Windsor Rd Urbana IL 61802-9564 |
| Phone Number | 2173449440 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719899319 |
| Number of Group Practice Members | 169 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140113 | PRESENCE COVENANT MEDICAL CENTER- URBANA |
| Address | Phone | Organization |
|---|---|---|
| 101 W University Ave, Champaign, IL 61820-3909 | 2173661200 | CHRISTIE CLINIC, LLC |
| 109 W University Ave, Champaign, IL 61820-3909 | 2173665180 | CHRISTIE CLINIC, LLC |
| 1207 S Mattis Ave, Champaign, IL 61821-4861 | 2173551684 | CHRISTIE CLINIC, LLC |
| 100 W Washington St, Suite 101, Monticello, IL 61856-1651 | 2177623352 | CHRISTIE CLINIC, LLC |
| 209 W Borman Dr, Rantoul, IL 61866-3632 | 2178939671 | CHRISTIE CLINIC, LLC |
| 300 N Main St, Tuscola, IL 61953-1406 | 2172539258 | CHRISTIE CLINIC, LLC |
| 1710 E Windsor Rd, Urbana, IL 61802-9564 | 2173449440 | CHRISTIE CLINIC, LLC |
| Organization Legal Name | CHRISTIE CLINIC, LLC |
| Physicians | 179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parin Patel | Urology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Jennifer Lynn Laubscher | Nurse Practitioner | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Steven J Damore | Radiation Oncology | Christie Clinic, LLC | 109 W University Ave, Champaign, IL 61820-3909 |
| Jessica M Sorensen | Physician Assistant | Christie Clinic, LLC | 101 W University Ave, Champaign, IL 61820-3909 |
| Jeanelle Y Murphy | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Nancy S Davidson | Physical Therapy | Christie Clinic, LLC | 1207 S Mattis Ave, Champaign, IL 61821-4861 |
| Onachukwu G Osaji | Family Medicine | Christie Clinic, LLC | 1001 Commercial Dr, Mahomet, IL 61853-8625 |
| Nathan R Walker | Internal Medicine | Christie Clinic, LLC | 501 Dunlap Ave, Savoy, IL 61874 |
| Jeanette Marie Feucht | Nurse Practitioner | Christie Clinic, LLC | 2502 E Empire St C, Bloomington, IL 61704-3739 |
| Kristi L Gresch | Physical Therapy | Christie Clinic, LLC | 2110 Fox Dr, Champaign, IL 61820-7553 |
| Street Address |
1710 E WINDSOR RD |
| City | URBANA |
| State | IL |
| Zip | 61802-9564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Laubscher | Nurse Practitioner | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Allen Thomas | Physician Assistant | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Dawn Brunner | Family Medicine | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Jo Ann Archey | Family Medicine | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Dina Swanson | Nurse Practitioner | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Ryan T Snowden | Physician Assistant | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Sherri Beth Morrison | Physician Assistant | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Daniel Deem | Internal Medicine | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Daniel J Lee | Family Medicine | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Dolores R. Fernandez | Diagnostic Radiology | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonio Salvatore Leone | Chiropractic | 909 N Cunningham Ave, Urbana, IL 61802-1744 | |
| Eileen M Shaw | Physical Therapy | Athletico Ltd | 114 N Vine St, Urbana, IL 61802-2700 |
| Ihsan Habib | Internal Medicine | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Charlotte L Schuchart | Internal Medicine | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| William E Kilpatrick | Nurse Practitioner | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Obiajulu Onwuekwe | Nurse Practitioner | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Stuart Craig King | Interventional Pain Management | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Anna Snowden | Physician Assistant | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Pradnya Vakil | Physician Assistant | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Deborah Frownfelter | Nurse Practitioner | Carle Health Care Incorporated | 1818 E Windsor Rd, Urbana, IL 61802-9566 |
| Find all physicians in zip 61802 | |||
| City | URBANA |
| Zip Code | 61802 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | URBANA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ingrid C Antonsen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.