Individual
DR. ZACHARY JASON EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 535-3699
Mailing address
400 N 9TH ST, SPRINGFIELD, IL, IL 62702
(217) 544-6464
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125070682
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
010069
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
06/19/2017
Last updated
06/30/2025
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