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

Jacksonville, LLC

Organization Family Medicine Physician · NPI 1740431345

Jacksonville, LLC is a Family Medicine Physician in Jacksonville, Illinois. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1602 W Lafayette Ave
Jacksonville, IL 62650-1007
Phone: (217) 243-7200
Fax: (217) 243-6165
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1740431345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J. Travis Dowell — Vice President, Hcna And Operations · (217) 788-3342
NPI enumeratedOctober 2, 2008
Last updated in NPPESOctober 2, 2008
Mailing addressPo Box 3428, Springfield, IL 62708-3428

Other providers in Jacksonville