Individual
DR. JEFFREY C MARGETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., NEUROSURGERY, URBANA, IL 61801-2500
(217) 383-3507
(217) 383-6006
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036069153
IL
207T00000X
Neurological Surgery Physician
17872-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-00007
UNITED HEALTHCARE
UT
01
—
17425
PEHP
UT
01
—
QM000048062
ALTIUS PROVIDER ID
UT
Enumeration date
01/15/2007
Last updated
05/04/2015
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