Passavant Physician Association
Passavant Physician Association is a Family 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
- 2
Practice location Address checks out
1600 W Walnut StJacksonville, IL 62650-1136
Phone: (217) 245-9541
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036098965 (IL) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 209007563 (IL) |
Record details
| NPI number | 1841578507 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Lee — Plan Administrator · (217) 479-5890 |
| Other names | Wound Clinic Rhc |
| NPI enumerated | July 29, 2011 |
| Last updated in NPPES | July 29, 2011 |
| Mailing address | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Other providers in Jacksonville
-
Natalie Mahoney
15 Founders Ln, Jacksonville, IL 62650-3919 · (217) 528-7541
-
John L. Malcott, MD
15 Founders Ln, Jacksonville, IL 62650-3918 · (217) 528-7541
-
Michael Scott Markley, MD
1000 W Morton Ave, Jacksonville, IL 62650-3152 · (217) 528-7541
-
Passavant Memorial Area Hospital Association
1600 W Walnut St, Jacksonville, IL 62650-1136 · (217) 245-9541
-
Passavant Physician Association
1600 W Walnut St, Jacksonville, IL 62650-1136 · (217) 479-5890
-
Passavant Physician Association
559 N Westgate Ave, Jacksonville, IL 62650-1156 · (217) 243-5474
-
Mosam B Patel, MD
15 Founders Ln, Jacksonville, IL 62650-3919 · (217) 528-7541
-
Dr. John Andrew Peterson, MD
800 W State St, Jacksonville, IL 62650-1910 · (217) 243-9471