Willard, Jared

Willard, Jared is an sole proprietor health care provider with primary practice located at 3101 Fields South Dr , Champaign IL 61822-3743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Willard, Jared can be contacted via phone (217) 366-1237.

Contact Information

Primary practice address
3101 Fields South Dr Champaign IL 61822-3743
Phone: (217) 366-1237
Fax: (217) 366-1303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0000058974 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 0000058974 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 036155928 Illinois

Profile Details

NPI number 1619362852
LBN Legal business name Willard, Jared
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2015
Last updated Jun 3rd, 2025 - about last year

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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