Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PASSAVANT PHYSICIAN ASSOCIATION
Active OrganizationPASSAVANT PHYSICIAN ASSOCIATION is a Internal Medicine organization located in JACKSONVILLE, Illinois. NPI 1720370778 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · JACKSONVILLE, IL
Registration Details
- NPI Number
- 1720370778
- Provider Type
- Organization
- NPI Issued
- May 10, 2011 (15.078777615938 yrs)
- Last Updated
- Jul 6, 2011
- Licenses
-
036056832 (IL)209004842 (IL)036091905 (IL)
Practice Information
- Address
-
559 N WESTGATE AVEJACKSONVILLE, IL, 626501156Browse IL providers · Browse ZIP 62650
- Phone
- 2172435474
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Internal Medicine
Other Internal Medicine Organizations in JACKSONVILLE, IL
| Name | NPI |
|---|---|
| HEALTHCARE NETWORK ASSOCIATES | 1518976497 |
| CHANDUPATLA PROBHAKAR MD | 1558473405 |
| PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION | 1760994040 |
| CENTRAL ILLINOIS SNF CARE PLLC | 1063103190 |
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.