Individual
DR. JENNIFER MARIE SCAGLIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
117 E CLARK ST, SIH MEDICAL GROUP PRIMARY CARE HARRISBURG, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 252-2540
Mailing address
117 E CLARK ST, SIH MEDICAL GROUP PRIMARY CARE HARRISBURG, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 252-2540
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036139550
IL
208600000X
Surgery Physician
2015-02018
NC
208600000X
Surgery Physician
275812
NY
208600000X
Surgery Physician
TL36714
SC
Other
Enumeration date
07/28/2009
Last updated
01/11/2016
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