Individual provider · Type 1 NPI

Jody Hannah Lack, MD

Pediatrics Physician · Springfield, IL

NPI number 1235351818 Active

Practice location

415 N 9th St, Ste 4W64
Springfield, IL 62702-5303

Call (217) 545-0003 Map

Fax (217) 545-7615

Mailing address

PO Box 19676
Springfield, IL 62794-9676

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X036-122811 (IL)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1235351818

Jody Hannah Lack, MD's National Provider Identifier is 1235351818, issued on May 3, 2007. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Springfield, IL. The record was last updated on Jan 13, 2011.