Jennifer Brattland Ota in Great Lakes - Internal Medicine

Jennifer Brattland Ota - NPI 1891779146

Jennifer Brattland Ota is a Internal Medicine in Great Lakes, Illinois. Jennifer Brattland Ota practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jennifer Brattland Ota is 1891779146. The last update date is 2007-07-08.

Jennifer Brattland Ota's current location address is 3001a Sixth Street, Great Lakes, Illinois. You can contact this provider via phone number 8476884560 and fax number 8476882678. The mailing address for Jennifer Brattland Ota is 3001a Sixth Street, Great Lakes, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Brattland Ota
Address 3001a Sixth Street, Great Lakes, Illinois
Phone Number 8476884560
Fax Number 8476882678
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1891779146
Provider Enumeration Date 2005-11-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3001a Sixth Street
City Great Lakes
State Illinois (IL)
Post Code 600882833
Phone Number 8476884560
Fax Number 8476882678

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Jennifer Brattland Ota

What is the Jennifer Brattland Ota's 1891779146?

The Jennifer Brattland Ota's NPI (National Provider Identifier) Number is 1891779146. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jennifer Brattland Ota?

The Jennifer Brattland Ota is physically situated at 3001A Sixth Street, in the city of Great Lakes, state of IL, with the postal code 600882833.

What is the area of specialization for Jennifer Brattland Ota, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jennifer Brattland Ota is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1891779146 to Jennifer Brattland Ota?

The Centers for Medicare & Medicaid Services originally issued the 1891779146 to Jennifer Brattland Ota on 2005-11-30.

When was the information pertaining to Jennifer Brattland Ota most recently updated or revised?

The details related to Jennifer Brattland Ota, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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