Secor, Jessica L
Secor, Jessica L is an individual health care provider with primary practice located at 7725 N Knoxville Ave , Peoria IL 61614-2079. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Secor, Jessica L can be contacted via phone (309) 495-0250.Contact Information
Primary practice address
7725 N Knoxville Ave
Peoria IL 61614-2079
Phone: (309) 495-0250
Fax: (309) 689-9035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 36140614 | Illinois |
Profile Details
| NPI number | 1164700183 |
|---|---|
| LBN Legal business name | Secor, Jessica L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2011 |
| Last updated | Jun 2nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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