Individual
JEFFREY LUKE DENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
302 W HAY ST STE 200, DECATUR, IL 62526-4171
(217) 872-2711
(217) 876-1958
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004116
IL
Other
Enumeration date
10/04/2011
Last updated
10/21/2024
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