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

Jackson Street Family Practice Center, Ltd

Organization Family Medicine Physician · NPI 1356355259

Jackson Street Family Practice Center, Ltd 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?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3331 W Deyoung St Ste 207
Marion, IL 62959-5896
Phone: (618) 998-7000
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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 number1356355259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Strack — Officer · (618) 998-7000
NPI enumeratedJuly 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 446, Murphysboro, IL 62966-0446

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