Individual provider · Type 1 NPI

Benjamin Illich

Emergency Medicine Physician · Jackson, MS

NPI number 1508277609 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X390200000 (MS)
Emergency Medicine Physician Primary 207P00000X24710 (MS)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1508277609

Benjamin Illich's National Provider Identifier is 1508277609, issued on May 12, 2014. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Jackson, MS. The record was last updated on Feb 4, 2022.