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Jody Hannah Lack, MD
Pediatrics Physician in Springfield, Illinois
NPI 1235351818

Jody Hannah Lack is a Pediatrics Physician based in Springfield, IL. Jody Hannah Lack practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Jody Hannah Lack is 1235351818 and holds a License No. 036-122811 (Illinois).

The current practice location address for Jody Hannah Lack is 415 N 9Th St, Springfield, IL and can be reached out via phone at 217-545-0003 and via fax at 217-545-7615.

Location: 415 N 9Th St, Springfield, IL, 62794-9676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235351818
Provider Name
Jody Hannah Lack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
415 N 9Th St, Springfield, IL, 62794-9676
Phone Number
217-545-0003
Fax Number
217-545-7615
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036122811 05 IL
institution
Provider Business Practice Location Address Details
Address
415 N 9Th St
City
Springfield
State
Illinois
Zip
62702-5303
Phone Number
217-545-0003
Fax Number
217-545-7615
person
Provider Business Mailing Address Details
Address
415 N 9Th St
City
Springfield
State
Illinois
Zip
62702-5303
Phone Number
217-545-0003
Fax Number
217-545-7615
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036-122811 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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