TIMOTHY E JESSEN MD

Allergy and Immunology

Freeport, Illinois

Provider NPI: 1831165034

Provider Information:
 TIMOTHY E JESSEN MD


Practice Location:
1010 FAIRWAY DR  FREEPORT, IL 61032 US
Tel: 815-599-6930  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207R00000X	Physicians Internal Medicine	IL	036077588
Y	207K00000X	Physicians Allergy & Immunology	IL	036077588

Other Provider Identifiers:

Issuer	Number	State	Type
	036077588	IL	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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