JEFFERY E. ILLMAN M.D.
NPI 1235687088
Radiology - Diagnostic Radiology in Rochester, MN

Q: What is Jeffery Illman's NPI number?

The NPI number for Jeffery Illman is 1235687088. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Q: What is Jeffery Illman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Illman was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2016

1082 SOUTHERN RIDGE DR SW, ROCHESTER, MN 55902(952) 595-1100(612) 294-4903 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 26, 2018, Sep 21, 2016 (2 updates tracked since 2016).

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About Jeffery E. Illman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERY E. ILLMAN M.D. (NPI 1235687088) is an individual diagnostic radiology provider in Rochester, Minnesota, licensed in Minnesota (40475) and active in the NPI registry since September 2016. He maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1235687088

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJEFFERY E. ILLMANCredential: M.D.

Location Address1082 SOUTHERN RIDGE DR SWRochester, MN 55902-1854

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(952) 595-1100

Fax(612) 294-4903

Sole ProprietorNo

Enumeration DateSeptember 21, 2016

Last NPPES UpdateApril 3, 20182 updates tracked since enumeration

✔ NPI 1235687088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MN · 40475

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1082 SOUTHERN RIDGE DR SW, Rochester, MN 55902

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Secondary Practice Location 1

Location 11082 Southern Ridge Dr SWRochester, MN 55902-1854 · Phone (952) 595-1100 · Fax (612) 294-4903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery Illman's NPI number?

The NPI number for Jeffery Illman is 1235687088. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Where is Jeffery Illman located?

Jeffery Illman practices at 1082 Southern Ridge Dr SW, Rochester, MN 55902. The listed phone number is (952) 595-1100.

What is Jeffery Illman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jeffery Illman was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.