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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DAVID WILLIAM JANTZEN III, M.D.

Active

MR. DAVID WILLIAM JANTZEN III, M.D. is a Pediatric Cardiology healthcare provider located in PEORIA, Illinois. NPI 1649451352 is currently active in the NPPES registry. Verify at CMS.

Pediatric Cardiology · PEORIA, IL

Registration Details

NPI Number
1649451352
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2007 (18.684954628392 yrs)
Last Updated
Jul 15, 2015
Licenses
4301097945 (MI)
5841 (NE)
4301097945 (MI)
036.138159 (IL)

Practice Information

Address
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL, 616033105
Browse IL providers · Browse ZIP 61603
Phone
3096553453
Fax
3096553410
Primary Specialty
Pediatric Cardiology
2080P0202X
Additional Specialty
Pediatrics
Additional Specialty
Pediatric Cardiology
Additional Specialty
Pediatric Cardiology

Other Pediatric Cardiology Providers in PEORIA, IL

Name Credential NPI
DAVID P CHAN MD 1427057595
DR. TY E HASSELMAN MD 1861438434
DR. WILLIAM H ALBERS MD 1982798146
DR. JITENDRA J SHAH MD 1619061827
DR. STEPHEN E BASH MD 1417041666
CECILIA ANNE ALBARO M.D. 1497879290
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.