Passavant Memorial Area Hospital
NPI #1184668519 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1184668519
- Entity Type
- Organization
- Organization Name
- Passavant Memorial Area Hospital
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRAIRIELAND EMERGENCY PHYSICIANS
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1600 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1136
- Phone
- (217) 245-9541
Authorized Official
- Name
- MR. CHESTER A WYNN
- Title
- CEO
- Phone
- (217) 245-9541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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