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

Passavant Memorial Area Hospital Association

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1235864810

Passavant Memorial Area Hospital Association is a Critical Care Medicine (Internal Medicine) Physician in Jacksonville, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5

Practice location Address checks out

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

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Radiation Oncology Physician Taxonomy 2085R0001X
Hospitalist Physician Taxonomy 208M00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1235864810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Bowling — Director · (217) 588-2626
Other names Jacksonville Professional Fees
NPI enumeratedJuly 19, 2022
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing addressPo Box 3428, Springfield, IL 62708-3428