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

Passavant Physician Association

Organization Obstetrics & Gynecology Physician · NPI 1205387958

Passavant Physician Association is an Obstetrics & Gynecology Physician in Jacksonville, Illinois. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

1600 W Walnut St
Jacksonville, IL 62650-1136
Phone: (217) 243-8455
Fax: (217) 243-7951
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1205387958
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPassavant Memorial Area Hospital
Authorized official Stephen Lee — Practice Manager · (217) 479-5890
NPI enumeratedOctober 18, 2016
Last updated in NPPESOctober 18, 2016
Mailing address1600 W Walnut St, Jacksonville, IL 62650-1136

Other providers in Jacksonville