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

PASSAVANT PHYSICIAN ASSOCIATION

Active Organization

PASSAVANT PHYSICIAN ASSOCIATION is a Family Medicine organization located in JACKSONVILLE, Illinois. NPI 1841578507 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JACKSONVILLE, IL

Registration Details

NPI Number
1841578507
Provider Type
Organization
NPI Issued
Jul 29, 2011 (14.858962030778 yrs)
Last Updated
Jul 29, 2011
Licenses
209007563 (IL)
036098965 (IL)

Practice Information

Address
1600 W WALNUT ST
JACKSONVILLE, IL, 626501136
Browse IL providers · Browse ZIP 62650
Phone
2172459541
Primary Specialty
Family Medicine
207Q00000X
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.