Passavant Physician Association
Passavant Physician Association is an Internal Medicine Physician in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
- Specialties on file
- 3
Practice location Address checks out
559 N Westgate AveJacksonville, IL 62650-1156
Phone: (217) 243-5474
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 036091905 (IL) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 036056832 (IL) |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 209004842 (IL) |
Record details
| NPI number | 1720370778 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Lee — Manager · (217) 479-5890 |
| Other names | Passavant Internal Medicine Rural Health Clinic |
| NPI enumerated | May 10, 2011 |
| Last updated in NPPES | July 6, 2011 |
| Mailing address | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Other providers in Jacksonville
-
Dr. Babu Rao Eladasari, MD, FACP
559 N Westgate Ave, Jacksonville, IL 62650-1156 · (217) 243-5474
-
Anthony M Griffin, MD
15 Founders Ln Ste 100, Jacksonville, IL 62650-3924 · (217) 243-0300
-
Healthcare Network Associates
1606 W Lafayette Ave, Jacksonville, IL 62650-3707 · (217) 245-1421
-
Dr. Edwin Roy Mathews, DO
15 Founders Ln Ste 100, Jacksonville, IL 62650-3924 · (217) 243-0300
-
Chandupatla Prabhakar, MD
559 N Westgate, Jacksonville, IL 62650 · (217) 243-5474