person
Benjamin Illich
Emergency Medicine Physician in Jackson, Mississippi
NPI 1508277609

Benjamin Illich is a Emergency Medicine Physician based in Jackson, MS. Benjamin Illich practices in Jackson, MS. The NPI Number for Benjamin Illich is 1508277609 and holds a License No. 390200000 (Mississippi).

The current practice location address for Benjamin Illich is 2500 N State St, Jackson, MS and can be reached out via phone at 228-984-5582.

Location: 2500 N State St, Jackson, MS, 39216-4500
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Provider Profile Details
NPI Number
1508277609
Provider Name
Benjamin Illich
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
228-984-5582
Fax Number
Provider Enumeration Date
05/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
228-984-5582
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
228-984-5582
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
24710 (Mississippi)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
390200000 (Mississippi)
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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