David William Jantzen in Peoria - Pediatrics
David William Jantzen - NPI 1649451352
David William Jantzen is a Pediatrics in Peoria, Illinois. David William Jantzen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for David William Jantzen is 1649451352. The last update date is 2015-07-15.
David William Jantzen's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096553453 and fax number 3096553410. The mailing address for David William Jantzen is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David William Jantzen |
|---|---|
| Address | 420 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096553453 |
| Fax Number | 3096553410 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1649451352 |
|---|---|
| Provider Enumeration Date | 2007-11-21 |
| Last Updated Date | 2015-07-15 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033105 |
| Phone Number | 3096553453 |
| Fax Number | 3096553410 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 4301097945 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to David William Jantzen by the Centers for Medicare & Medicaid Services?
The David William Jantzen has been assigned the NPI (National Provider Identifier) 1649451352. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where David William Jantzen's facilities are situated?
The facilities of David William Jantzen are physically located at the following address: 420 Ne Glen Oak Ave, Peoria, IL, 616033105.
What is the David William Jantzen's specialty and taxonomy code?
The David William Jantzen's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the David William Jantzen receive the assignment of its 1649451352 from the Centers for Medicare & Medicaid Services?
The David William Jantzen was issued its 1649451352 by the Centers for Medicare & Medicaid Services on 2007-11-21.
As of what date were the details related to David William Jantzen most recently updated or revised?
The information pertaining to David William Jantzen, including its address, specialty, and other relevant details, was last updated or revised on 2015-07-15.