Individual
MR. JEFFREY W FLEISCHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1745 W WALNUT ST STE 12, JACKSONVILLE, IL 62650-6126
(800) 532-6279
Mailing address
1745 W WALNUT ST STE 12, JACKSONVILLE, IL 62650-6126
(800) 532-6279
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005038
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005038
—
IL
01
—
016005038/4974780001
MEDICARE DMERC
IL
01
—
06932011
BCBS OF ILLINOIS
IL
01
—
533079/270056166
HEALTHLINK PPO
IL
01
—
HEALTH ALLIANCE
072022
IL
01
—
RAILROAD MEDICARE
P00027608/DA1788
IL
Enumeration date
06/12/2006
Last updated
12/29/2021
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