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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 Multi-Specialty Clinic organization located in JACKSONVILLE, Illinois. NPI 1962689307 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · JACKSONVILLE, IL

Registration Details

NPI Number
1962689307
Provider Type
Organization
NPI Issued
Jan 29, 2008 (18.539459132959 yrs)
Last Updated
Mar 21, 2018
Licenses
036048526 (IL)
036057937 (IL)

Practice Information

Address
1600 W WALNUT ST
JACKSONVILLE, IL, 626501136
Browse IL providers · Browse ZIP 62650
Phone
2174795890
Fax
2172432206
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Additional Specialty
General Surgery
Additional Specialty
Internal Medicine
Additional Specialty
Obstetrics
Additional Specialty
Otolaryngology

Other Multi-Specialty 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.