Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr Jack Keller PC

Organization Family Medicine Physician · NPI 1215011259

Dr Jack Keller PC provides Family Medicine Physician services in Marion, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1008 W Cherry Ste F
Marion, IL 62959 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 997-2919
Fax: (618) 997-6851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)

Record details

NPI number1215011259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Keller — President · (618) 997-2919
NPI enumeratedOctober 25, 2006
Last updated in NPPESNovember 5, 2007
Mailing address1008 West Cherry Ste F, Marion, IL 62959

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