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Contact Information

JARED WILLARD, MD
3101 FIELDS SOUTH DR
CHAMPAIGN, IL61822-3743
 Phone: 217-366-1237
 Fax: 217-366-1303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JARED WILLARD · (Male)

NPI Number 1619362852
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2015
Last updated 06/03/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036155928
  • TN License # 0000058974
Hospital affiliation(s) Not Available
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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