Individual
JESSE TAO BUEDEFELDT-POLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 N 9TH ST BLDG Q, SPRINGFIELD, IL 62702-5317
(217) 545-8000
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2486
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD171594
OR
207VX0000X
Obstetrics Physician
Primary
036140756
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036140756
—
IL
Enumeration date
06/28/2011
Last updated
11/20/2025
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