Jennifer A Bevan in Lake Bluff - Pediatrics
Jennifer A Bevan - NPI 1467490052
Jennifer A Bevan is a Pediatrics in Lake Bluff, Illinois. Jennifer A Bevan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jennifer A Bevan is 1467490052. The last update date is 2015-03-20.
Jennifer A Bevan's current location address is 917 Sherwood Dr, Lake Bluff, Illinois. You can contact this provider via phone number 8472951220 and fax number 8472951255. The mailing address for Jennifer A Bevan is 917 Sherwood Dr, Lake Bluff, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer A Bevan |
|---|---|
| Address | 917 Sherwood Dr, Lake Bluff, Illinois |
| Phone Number | 8472951220 |
| Fax Number | 8472951255 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1467490052 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2015-03-20 |
Provider Mailing Address Detail
| Address | 917 Sherwood Dr |
|---|---|
| City | Lake Bluff |
| State | Illinois (IL) |
| Post Code | 600442203 |
| Phone Number | 8472951220 |
| Fax Number | 8472951255 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36100251 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36100251 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer A Bevan?
The Jennifer A Bevan has been issued the NPI (National Provider Identifier) 1467490052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jennifer A Bevan?
The Jennifer A Bevan is situated at 917 Sherwood Dr, in the city of Lake Bluff, state of IL, with the zip code 600442203.
What is Jennifer A Bevan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer A Bevan is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did the Jennifer A Bevan receive its 1467490052 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer A Bevan was assigned its 1467490052 by the Centers for Medicare & Medicaid Services on 2006-06-03.
When was the information related to Jennifer A Bevan most recently updated or refreshed?
The details pertaining to the Jennifer A Bevan, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-20.
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