Passavant Physician Association
NPI #1205387958 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1205387958
- Entity Type
- Organization
- Organization Name
- Passavant Physician Association
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PASSAVANT MEMORIAL AREA HOSPITAL
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Oct 18, 2016
- Last Updated
- Oct 18, 2016
Practice Location
- Address
- 1600 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1136
- Phone
- (217) 243-8455
Authorized Official
- Name
- MR. STEPHEN G LEE
- Title
- PRACTICE MANAGER
- Phone
- (217) 479-5890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
| Clinic/Center - Rural Health — Rural Health |
Similar Providers
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| Siu Physicians & Surgeons, INC | |
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| Memorial Physician Services | |
| Memorial Physician Services | |
| Jacksonville, LLC |
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