Provider Demographics
NPI:1861494775
Name:ANDRAS, CARY FRANCIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CARY
Middle Name:FRANCIS
Last Name:ANDRAS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1429 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62650-3476
Mailing Address - Country:US
Mailing Address - Phone:217-243-1821
Mailing Address - Fax:217-245-1524
Practice Address - Street 1:640 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:IL
Practice Address - Zip Code:62363-1350
Practice Address - Country:US
Practice Address - Phone:217-285-2113
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0360442768207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD09871Medicare UPIN