Jennifer M Illig in State College - Medical
Jennifer M Illig - NPI 1245335660
Jennifer M Illig is a Medical in State College, Pennsylvania. Jennifer M Illig practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennifer M Illig is 1245335660. The last update date is 2018-12-19.
Jennifer M Illig's current location address is 1850 E Park Ave Ste 201, State College, Pennsylvania. You can contact this provider via phone number 8442784600 and fax number 8142351133. The mailing address for Jennifer M Illig is 1850 E Park Ave Ste 201, State College, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer M Illig |
|---|---|
| Address | 1850 E Park Ave Ste 201, State College, Pennsylvania |
| Phone Number | 8442784600 |
| Fax Number | 8142351133 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1245335660 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2018-12-19 |
Provider Mailing Address Detail
| Address | 1850 E Park Ave Ste 201 |
|---|---|
| City | State College |
| State | Pennsylvania (PA) |
| Post Code | 168036706 |
| Phone Number | 8442784600 |
| Fax Number | 8142351133 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MA052572 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identifier code issued to Jennifer M Illig by the Centers for Medicare & Medicaid Services?
The Jennifer M Illig has been assigned the NPI (National Provider Identifier) 1245335660. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer M Illig located?
The Jennifer M Illig is located at 1850 E Park Ave Ste 201, State College, PA 168036706.
What is Jennifer M Illig's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer M Illig is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245335660 to Jennifer M Illig?
The Centers for Medicare & Medicaid Services assigned the 1245335660 to Jennifer M Illig on 2006-09-13.
When was the information regarding Jennifer M Illig, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jennifer M Illig, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-12-19.