Individual
JEFFREY STUART ILLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19582 BEACH BLVD STE 202, HUNTINGTON BEACH, CA 92648-2996
(714) 841-9899
(714) 841-2729
Mailing address
19582 BEACH BLVD STE 202, HUNTINGTON BEACH, CA 92648-2996
(714) 841-9899
(714) 841-2729
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G067729
CA
Other
Enumeration date
08/14/2006
Last updated
04/06/2019
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