Individual
DR. JENNIFER T BEHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3313
(217) 383-4014
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01063671A
IN
207P00000X
Emergency Medicine Physician
Primary
036146322
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000604753
ANTHEM
—
05
—
200938340
—
IN
05
—
2683618
—
OH
Enumeration date
07/06/2006
Last updated
10/28/2019
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