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

JACKSONVILLE, LLC

Active Organization

JACKSONVILLE, LLC is a Family Medicine organization located in JACKSONVILLE, Illinois. NPI 1740431345 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JACKSONVILLE, IL

Registration Details

NPI Number
1740431345
Provider Type
Organization
NPI Issued
Oct 2, 2008 (17.865579209587 yrs)
Last Updated
Oct 2, 2008

Practice Information

Address
1602 W LAFAYETTE AVE
JACKSONVILLE, IL, 626501007
Browse IL providers · Browse ZIP 62650
Phone
2172437200
Fax
2172436165
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Family Medicine
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.