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

JACKSONVILLE PEDIATRIC ASSOCIATES, LLC

Active Organization

JACKSONVILLE PEDIATRIC ASSOCIATES, LLC is a Rural Health Clinic organization located in JACKSONVILLE, Illinois. NPI 1679724181 is currently active in the NPPES registry. Verify at CMS.

Rural Health Clinic · JACKSONVILLE, IL

Registration Details

NPI Number
1679724181
Provider Type
Organization
NPI Issued
Oct 2, 2008 (17.866551197503 yrs)
Last Updated
Oct 2, 2008

Practice Information

Address
1600 W WALNUT ST
EAST WING, 3RD FLOOR
JACKSONVILLE, IL, 626501136
Browse IL providers · Browse ZIP 62650
Phone
2172455437
Fax
2172433113
Primary Specialty
Rural Health Clinic
261QR1300X

Other Rural Health Clinic Organizations in JACKSONVILLE, IL

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.