Stephen H. Jennison, M.D.

Specialist · Springfield, IL

Individual Active NPI

NPI number 1043391766

Practice location

619 E Mason St
Suite 4p57
Springfield, IL 62701-1034
Phone
(217) 788-0706
Fax
(217) 525-2535

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NPI record

NPI
1043391766
Entity type
Individual (Type 1)
Enumeration date
October 18, 2006
Last updated
June 2, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 036-091807 IL

Mailing address

PO Box 19420
Springfield, IL 62794-9420
Phone
(217) 788-0706
Fax
(217) 525-2535

About Dr. Jennison

Stephen H. Jennison, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034. The NPI number 1043391766 was assigned on October 18, 2006 and the record was last updated on June 2, 2008.

Dr. Jennison lists a license in the registry: #036-091807 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen H. Jennison, M.D.?

The NPI number is 1043391766.

What is the phone number of Dr. Jennison?

The phone number listed for the practice location is (217) 788-0706.

Where is Dr. Jennison located?

619 E Mason St, Suite 4p57, Springfield, IL 62701-1034.

What is the taxonomy code for Dr. Jennison?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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