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Contact Information

JON N JESSEN, MD
701 N 1ST ST
SPRINGFIELD, IL62781-0001
 Phone: 217-522-3122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Personal Emergency Response Attendant

146D00000X
Indicates primary specialty

NPI Profile & details for JON N JESSEN · (Male)

NPI Number 1912970823
Status Active
Credentials MD
Entity Individual
Enumeration date 02/10/2006
Last updated 04/29/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036071861
  • IL Medicaid 0360718611
Hospital affiliation(s)
  • ABRAHAM LINCOLN MEMORIAL HOSPITAL - (Critical Access)
    200 STAHLHUT DRIVE
    LINCOLN, IL 62656
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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