Individual provider · Type 1 NPI

Stephen H. Jennison, MD

Specialist · Springfield, IL

NPI number 1043391766 Active

Practice location

619 E Mason St, Suite 4P57
Springfield, IL 62701-1034

Call (217) 788-0706 Map

Fax (217) 525-2535

Mailing address

PO Box 19420
Springfield, IL 62794-9420

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036-091807 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1043391766

Stephen H. Jennison, MD's National Provider Identifier is 1043391766, issued on Oct 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Springfield, IL. The record was last updated on Jun 2, 2008.