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Search › Illinois › 363A00000X

Vincent Macino, PA

NPI 1497291926 · on the registry since 2017

Practice

Address
1201 Wooddell Way Ste B
Mattoon, IL 61938
Phone
(217) 238-3000
Fax
(217) 238-3008
Clinicians at this address
8

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
Licence states on file
NJ, FL, VA, IL, OH, CA, PA, NY, KS, WI, TN, MA, IN, MO, MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-05

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