Jennifer Liedel
MD | Pediatric Critical Care Medicine | Female
Jennifer Liedel, MD is a Burr Ridge, Illinois based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Jennifer Liedel is
180 Harvester Dr Ste 110, Burr Ridge, Illinois - 60527-6686. She can be contacted on phone at
773-834-4064.
Jennifer Liedel is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Liedel is
1336299379 which was assigned by NPPES on 11 Jan, 2007 and it was last updated on 31 Jan, 2019.
Jennifer Liedel license number is
036102039 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Illinois.
Jennifer Liedel is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Jennifer Liedel basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
|---|
| Provider Name : | Jennifer Liedel |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Jennifer Liedel 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 : | 180 Harvester Dr Ste 110
Burr Ridge, IL, 60527-6686
United States |
|---|
| Phone Number : | 773-834-4064 |
|---|
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 : | 1336299379 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 11 Jan, 2007 |
|---|
| Last Updated On : | 31 Jan, 2019 |
|---|
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 Jennifer Liedel are as mentioned. Primary taxonomy code for Jennifer Liedel, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 036102039 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Liedel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036102039 | MEDICAID | 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 : | 10140 Centurion Pkwy N
Jacksonville, FL, 32256-0532
United States |
|---|
| Phone Number : | 904-697-4127 |
|---|
| Fax Number : | 904-697-5102 |
|---|
Business Location:
Patients can refer following map for directions to
Jennifer Liedel 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.