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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON STREET FAMILY PRACTICE CENTER, LTD

Active Organization

JACKSON STREET FAMILY PRACTICE CENTER, LTD is a Family Medicine organization located in MARION, Illinois. NPI 1356355259 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MARION, IL

Registration Details

NPI Number
1356355259
Provider Type
Organization
NPI Issued
Jul 28, 2006 (20.049666541793 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
3331 W DEYOUNG ST
SUITE 207
MARION, IL, 629595896
Browse IL providers · Browse ZIP 62959
Phone
6189987000
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.