Central Illinois Snf Care Pllc
NPI #1063103190 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1063103190
- Entity Type
- Organization
- Organization Name
- Central Illinois Snf Care Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 18, 2023
- Last Updated
- Oct 3, 2023
Practice Location
- Address
- 1517 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1133
- Phone
- (630) 336-5620
Authorized Official
- Name
- BHAVIN VALLABHBHAI SONANI
- Title
- PRESIDENT / OWNER
- Phone
- (630) 336-5620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospitalist |
| Internal Medicine |
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| DR. Tara Jean Ramsey, M.D. | |
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| DR. Thomas Anthony Baker, M.D. | |
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