Individual
DR. DAVID C JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
201 E MARKET ST, MORRISON, IL 61270-2854
(815) 718-0020
Mailing address
16380 BROWNS RD, MORRISON, IL 61270-9573
(815) 718-0020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-006739
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9826676
BLUE CROSS BLUE SHIELD
IL
01
—
P00057517
RAILROAD MEDICARE
IL
Enumeration date
08/25/2006
Last updated
01/15/2014
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