Provider Demographics
NPI:1649430307
Name:JENNINGS, ELIZABETH BENITA (INTERPRETER)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:BENITA
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:MISS
Other - First Name:BENITA
Other - Middle Name:
Other - Last Name:ANTUNEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:INTERPRETER
Mailing Address - Street 1:618 NELSON AVE
Mailing Address - Street 2:
Mailing Address - City:GIBSON CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60936-1147
Mailing Address - Country:US
Mailing Address - Phone:217-784-5038
Mailing Address - Fax:
Practice Address - Street 1:618 NELSON AVE
Practice Address - Street 2:
Practice Address - City:GIBSON CITY
Practice Address - State:IL
Practice Address - Zip Code:60936-1147
Practice Address - Country:US
Practice Address - Phone:217-784-5038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter