Jennings, Mark

Jennings, Mark is an individual health care provider with primary practice located at Pediatric Neurology 515 Ne Glen Oak #308, Peoria IL 61603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Jennings, Mark can be contacted via phone (309) 624-9844.

Contact Information

Primary practice address
Pediatric Neurology 515 Ne Glen Oak #308 Peoria IL 61603
Phone: (309) 624-9844
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X Illinois

Profile Details

NPI number 1356315246
LBN Legal business name Jennings, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356315246 NPPES
Illinois Other IL01DP JOHN DEERE
Illinois Other 07215036 JOHN DEERE

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