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

Passavant Memorial Area Hospital

Organization Surgery Physician · NPI 1366486771

Passavant Memorial Area Hospital is a Surgery Physician in Jacksonville, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1600 W Walnut St
Jacksonville, IL 62650-1136
Phone: (217) 479-5821
Fax: (217) 243-7406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1366486771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Ragel — Cfo/Vice President Of Finance · (217) 479-5527
Other names Passavant Surgical Associates
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 1977, Springfield, IL 62705-1977

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