Individual provider · Type 1 NPI

Pothen Jacob, MD

Pediatrics Physician · East St. Louis, IL

NPI number 1376640474 Active

Practice location

4601 State St, Suite #210
East St. Louis, IL 62205-1359

Fax (618) 874-5031

Mailing address

PO Box 2228, 4601 State St Suite #210
East St. Louis, IL 62205-1359

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X3648725 (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 1376640474

Pothen Jacob, MD's National Provider Identifier is 1376640474, issued on Sep 20, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in East St. Louis, IL. The record was last updated on Jul 8, 2007.