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Stephen H Jennison, MD
Specialist in Springfield, Illinois
NPI 1043391766

Stephen H Jennison is a Specialist based in Springfield, IL. Stephen H Jennison practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Stephen H Jennison is 1043391766 and holds a License No. 036-091807 (Illinois).

The current practice location address for Stephen H Jennison is 619 E Mason St, Springfield, IL and can be reached out via phone at 217-788-0706 and via fax at 217-525-2535.

Location: 619 E Mason St, Springfield, IL, 62794-9420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043391766
Provider Name
Stephen H Jennison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
619 E Mason St, Springfield, IL, 62794-9420
Phone Number
217-788-0706
Fax Number
217-525-2535
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060031123 01 IL RAILROAD
institution
Provider Business Practice Location Address Details
Address
619 E Mason St
City
Springfield
State
Illinois
Zip
62701-1034
Phone Number
217-788-0706
Fax Number
217-525-2535
person
Provider Business Mailing Address Details
Address
619 E Mason St
City
Springfield
State
Illinois
Zip
62701-1034
Phone Number
217-788-0706
Fax Number
217-525-2535
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036-091807 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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