DR. Jennifer Marie Light, M.D.

NPI #1144676735 in Peoria, Illinois

Provider Information

NPI Number: 1144676735
Entity Type: Individual
Name: DR. Jennifer Marie Light, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: May 12, 2016
Last Updated: Jul 10, 2023

Practice Location

Address: 530 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61637-0001
Phone: (309) 624-0917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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