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MARK JENNINGS MD NPI 1356315246


NPI Information

NPI: 1356315246
Provider Name: MARK JENNINGS, MD
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Individual
Address:
PEDIATRIC NEUROLOGY
515 NE GLEN OAK #308
PEORIA, IL
ZIP 61603
Phone: (309) 624-9844
Get Directions

Mark Jennings, MD is a neuromusculoskeletal medicine omm in Peoria, IL. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. Mark Jennings, MD NPI is 1356315246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PEDIATRIC NEUROLOGY
515 NE GLEN OAK #308
PEORIA, IL
ZIP 61603
Phone: (309) 624-9844

The enumeration date for this NPI number is 2/15/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMMILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1639810MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
2IL01DPOTHERILLINOISJOHN DEERE
307215036OTHERILLINOISBCBS
4A62840MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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