Mr. David William Jantzen Iii
M.D. | Pediatric Cardiology | Male
Mr. David William Jantzen Iii, M.D. is a Peoria, Illinois based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Mr. David William Jantzen Iii is
420 Ne Glen Oak Ave, Suite 301, Peoria, Illinois - 61603-3105. He can be contacted on phone at
309-655-3453 and fax number 309-655-3410.
Mr. David William Jantzen Iii is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. David William Jantzen Iii is
1649451352 which was assigned by NPPES on 21 Nov, 2007 and it was last updated on 15 Jul, 2015.
Mr. David William Jantzen Iii license number is
036.138159 for Pediatrics Pediatric Cardiology (2080P0202X) in Illinois.
Mr. David William Jantzen Iii provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Mr. David William Jantzen Iii basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
|---|
| Provider Name : | Mr. David William Jantzen Iii |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Mr. David William Jantzen Iii address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 420 Ne Glen Oak Ave, Suite 301
Peoria, IL, 61603-3105
United States |
|---|
| Phone Number : | 309-655-3453 |
|---|
| Fax Number : | 309-655-3410 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649451352 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 21 Nov, 2007 |
|---|
| Last Updated On : | 15 Jul, 2015 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. David William Jantzen Iii are as mentioned. Primary taxonomy code for Mr. David William Jantzen Iii, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4301097945 | MI |
| 208000000X | Pediatrics | No | 5841 | NE |
| 2080P0202X | Pediatrics Pediatric Cardiology | No | 4301097945 | MI |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 036.138159 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 420 Ne Glen Oak Ave, Suite 301
Peoria, IL, 61603-3105
United States |
|---|
| Phone Number : | 309-655-3453 |
|---|
| Fax Number : | 309-655-3410 |
|---|
Business Location:
Patients can refer following map for directions to
Mr. David William Jantzen Iii practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.