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

Dr Jack Keller PC

Organization Family Medicine Physician · NPI 1215011259

Dr Jack Keller PC is a Family Medicine Physician 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
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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