Individual
DR. JENNIFER SUSAN HULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 SO ILL RT 157, SUITE B, GLEN CARBON, IL 62034
(618) 692-1212
(618) 692-4875
Mailing address
2160 SO ILL RT 157, SUITE B, GLEN CARBON, IL 62034
(618) 692-1212
(618) 692-4875
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036110140
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110140
—
IL
Enumeration date
10/02/2006
Last updated
04/06/2021
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