Individual
JEFFREY A PLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(224) 654-0000
(224) 654-0000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036150619
IL
207L00000X
Anesthesiology Physician
304450
LA
207L00000X
Anesthesiology Physician
38797
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05555570
—
MS
05
—
2436121
—
LA
Enumeration date
04/08/2012
Last updated
12/18/2024
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