Individual
JEFFREY BRUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1106 N MERCHANT ST, EFFINGHAM, IL 62401-2128
(217) 342-7000
Mailing address
PO BOX 665, EFFINGHAM, IL 62401-0665
(217) 342-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112838
—
IL
Enumeration date
12/07/2005
Last updated
10/01/2020
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