Dr. Jennifer Anne Loethen
M.D. | Pediatrics | Female
Dr. Jennifer Anne Loethen, M.D. is a Granite City, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jennifer Anne Loethen is
3165 Myrtle Ave, Granite City, Illinois - 62040-5012. She can be contacted on phone at
618-876-2924.
Dr. Jennifer Anne Loethen is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jennifer Anne Loethen is
1205039955 which was assigned by NPPES on 08 Jun, 2007 and it was last updated on 22 Jun, 2010.
Dr. Jennifer Anne Loethen license number is
036121965 for Pediatrics (208000000X) in Illinois.
Dr. Jennifer Anne Loethen is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jennifer Anne Loethen basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jennifer Anne Loethen |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Jennifer Anne Loethen 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 : | 3165 Myrtle Ave
Granite City, IL, 62040-5012
United States |
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| Phone Number : | 618-876-2924 |
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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 : | 1205039955 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jun, 2007 |
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| Last Updated On : | 22 Jun, 2010 |
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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 Dr. Jennifer Anne Loethen are as mentioned. Primary taxonomy code for Dr. Jennifer Anne Loethen, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036121965 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jennifer Anne Loethen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036121965 | 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 : | 3165 Myrtle Ave
Granite City, IL, 62040-5012
United States |
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| Phone Number : | 309-648-6024 |
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Business Location:
Patients can refer following map for directions to
Dr. Jennifer Anne Loethen 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.