PASSAVANT PHYSICIAN ASSOCIATION

Family Medicine

Active Organization
NPI: 1841578507

Practice Address

1600 W WALNUT ST
Jacksonville, IL 62650

Phone: (217) 245-9541

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X No 209007563 (IL)
Family Medicine 207Q00000X Yes 036098965 (IL)

Frequently Asked Questions

NPI 1841578507 is the National Provider Identifier for PASSAVANT PHYSICIAN ASSOCIATION, a Family Medicine provider located in Jacksonville, IL. This NPI was enumerated on July 29, 2011.

Quick Facts

NPI
1841578507
Type
Organization
Enumerated
Jul 29, 2011
Last Updated
Jul 29, 2011

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