Jantzen, David William

Jantzen, David William is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Suite 301, Peoria IL 61603-3105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Jantzen, David William can be contacted via phone (309) 655-3453.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Suite 301 Peoria IL 61603-3105
Phone: (309) 655-3453
Fax: (309) 655-3410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301097945 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5841 Nebraska
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 4301097945 Michigan
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036.138159 Illinois

Profile Details

NPI number 1649451352
LBN Legal business name Jantzen, David William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2007
Last updated Jul 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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