Individual
JACK WESTON FITZSIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 W CARPENTER ST, SPRINGFIELD, IL 62702-4901
(217) 545-8000
Mailing address
315 W CARPENTER ST, SPRINGFIELD, IL 62702-4901
(217) 545-8000
(217) 545-1141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.078448
IL
207RH0003X
Hematology & Oncology Physician
Primary
036.170810
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
12/19/2025
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