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Individual

DR. JACOB VARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-4735
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-0182
(217) 545-4735

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-143504
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-143504
STATE OF ILLINOIS PHYSICIAN LICENSE
IL
Enumeration date
07/20/2014
Last updated
07/21/2022
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