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Dr. Jessica Jean Prange, MD
Student in an Organized Health Care Education/Training Program in Effingham, Illinois
NPI 1306089024

Jessica Jean Prange is a Student in an Organized Health Care Education/Training Program based in Effingham, IL. Jessica Jean Prange practices in Effingham, IL and has the professional credentials of MD. The NPI Number for Jessica Jean Prange is 1306089024 and holds a License No. 0036.137347 (Illinois).

The current practice location address for Jessica Jean Prange is 503 N Maple St, Effingham, IL and can be reached out via phone at 217-342-2121 and via fax at 217-347-1563.

Location: 503 N Maple St, Effingham, IL, 62401-2006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306089024
Provider Name
Jessica Jean Prange
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
503 N Maple St, Effingham, IL, 62401-2006
Phone Number
217-342-2121
Fax Number
217-347-1563
Provider Enumeration Date
04/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036137347 05 IL
P01514409 01 IL RAILROAD
institution
Provider Business Practice Location Address Details
Address
503 N Maple St
City
Effingham
State
Illinois
Zip
62401-2006
Phone Number
217-342-2121
Fax Number
217-347-1563
person
Provider Business Mailing Address Details
Address
503 N Maple St
City
Effingham
State
Illinois
Zip
62401-2006
Phone Number
217-342-2121
Fax Number
217-347-1563
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
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Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0036.137347 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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