Jennifer Sue Roberts in Peoria - Emergency Medicine

Jennifer Sue Roberts - NPI 1417157546

Jennifer Sue Roberts is a Emergency Medicine in Peoria, Illinois. Jennifer Sue Roberts practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Jennifer Sue Roberts is 1417157546. The last update date is 2007-07-18.

Jennifer Sue Roberts's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096552000. The mailing address for Jennifer Sue Roberts is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Sue Roberts
Address 530 Ne Glen Oak Ave, Peoria, Illinois
Phone Number 3096552000
Fax Number
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1417157546
Provider Enumeration Date 2007-07-18
Last Updated Date 2007-07-18

Provider Mailing Address Detail

Address 530 Ne Glen Oak Ave
City Peoria
State Illinois (IL)
Post Code 616370001
Phone Number 3096552000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 125.053318
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

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FAQs about Jennifer Sue Roberts

What is the unique provider identifier assigned to Jennifer Sue Roberts?

The Jennifer Sue Roberts has been issued the NPI (National Provider Identifier) 1417157546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Jennifer Sue Roberts is physically located?

The Jennifer Sue Roberts is physically situated at the following address: 530 Ne Glen Oak Ave, Peoria, IL, 616370001.

What is the Jennifer Sue Roberts's area of specialization and corresponding taxonomy classification?

The Jennifer Sue Roberts's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.

When did the Jennifer Sue Roberts receive its 1417157546?

The Jennifer Sue Roberts was issued its 1417157546 on 2007-07-18, which is the date when the organization was assigned this unique identifier.

When was the Jennifer Sue Roberts's information last updated?

The Jennifer Sue Roberts's information was last updated on 2007-07-18.

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