Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. David William Jantzen III, MD

Individual provider Pediatrics Physician · NPI 1649451352

Mr. David William Jantzen III, MD is a Pediatrics Physician in Peoria, Illinois. Licensed in Illinois, Michigan and Nebraska. Registered with an NPI since 2007.

Licensed in
IL, MI, NE
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

420 NE Glen Oak Ave Ste 301
Peoria, IL 61603-3105
Phone: (309) 655-3453
Fax: (309) 655-3410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 036.138159 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 4301097945 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 5841 (NE)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence 4301097945 (MI)

Record details

NPI number1649451352
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2007
Last updated in NPPESJuly 15, 2015

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