MEDICARE: DR. JANE RUTH ARBUTHNOT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician		IL

General Provider Information

NPI Number	:	1760489587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE RUTH ARBUTHNOT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3428
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62708-3428
Country	:	US
Telephone Number	:	217-757-7491
Fax Number	:	217-757-2021

Provider Business Practice Location Address
First Line	:	747 N RUTLEDGE ST
Second Line	:	BAYLIS BUILDING, 2ND FLOOR
City	:	SPRINGFIELD
State	:	IL
Zip	:	62702-6700
Country	:	US
Telephone Number	:	217-757-7932
Fax Number	:	217-757-7920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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