Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. JANE ELIZABETH LARSEN
Active
Individual
DR. JANE ELIZABETH LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036126474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036126474
—
IL
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
920540028
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
RAILROAD MEDICARE PTAN (GROUP)
IL
01
—
P01090238
RAILROAD MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
04/11/2010
Last updated
04/10/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up