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

Passavant Memorial Area Hospital

Organization Emergency Medicine Physician · NPI 1184668519

Passavant Memorial Area Hospital is an Emergency Medicine Physician in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

1600 W Walnut St
Jacksonville, IL 62650-1136
Phone: (217) 245-9541
Fax: (217) 479-8781
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X (IL)

Record details

NPI number1184668519
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrairieland Emergency Physicians
Authorized official Chester Wynn — Ceo · (217) 245-9541
Other names Prairieland Emergency Physicians
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1600 W Walnut St, Jacksonville, IL 62650-1136

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