Jeffrey W Hemp, MD
Individual provider Active NPI Emergency Medicine Physician · Mapleton, IL
NPI 1922089374 · NPPES record last updated Aug 17, 2007
Key facts
- NPI
- 1922089374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Practice address
- 4620 S Canterbury CT
Mapleton, IL 61547-9543 - Phone
- (309) 697-2207
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-068797 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Emergency Physicians, P.C. | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | IL | Yes |
Addresses
Primary practice location
4620 S Canterbury CT
Mapleton, IL 61547-9543
Mailing address
4620 S Canterbury CT
Mapleton, IL 61547-9543
Phone (309) 697-2207
Other providers in Mapleton, IL
- Rachel Buchheit
- Nicholas Creek
- Delayne L Deiss
- Briana Fletcher
- Alison Goley
- Abigail Elizabeth Henry
- Victoria R Lavick-Scudder
- Rhiannon L Richards
- James Reuben Seavey Jr.
- Kara Sylvester
All providers in Mapleton, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.