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

Jacksonville Pediatric Associates, LLC

Organization Pediatrics Physician · NPI 1649421207

Jacksonville Pediatric Associates, LLC is a Pediatrics Physician in Jacksonville, Illinois. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 W Walnut St East Wing 3rd Fl
Jacksonville, IL 62650-1136
Phone: (217) 245-5437
Fax: (217) 243-3113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1649421207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J. Travis Dowell — Vice President, Hcna And Operations · (217) 788-3342
NPI enumeratedOctober 1, 2008
Last updated in NPPESOctober 1, 2008
Mailing addressPo Box 3428, Springfield, IL 62708-3428

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