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Contact Information

JACOB BUNTE, NP
1301 S KOKE MILL RD
SPRINGFIELD, IL62711-9252
 Phone: 217-547-9100
 Fax: 217-547-9236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for JACOB BUNTE · (Male)

NPI Number 1568830644
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/08/2015
Last updated 01/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041394533
  • IL License # 209.021950
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • PASSAVANT AREA HOSPITAL - (Acute Care)
    1600 W WALNUT ST
    JACKSONVILLE, IL 62650
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
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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