Jackson Street Family Practice Center, Ltd

NPI #1356355259 in Marion, Illinois

Provider Information

NPI Number
1356355259
Entity Type
Organization
Organization Name
Jackson Street Family Practice Center, Ltd
Primary Specialty
Family Medicine
Enumeration Date
Jul 28, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
3331 W DEYOUNG ST
Address 2
SUITE 207
City
Marion
ZIP Code
62959-5896
Phone
(618) 998-7000

Authorized Official

Name
MRS. KAREN STRACK, D.O.
Title
OFFICER
Phone
(618) 998-7000

Specialties & Taxonomy Codes

Specialty
Family Medicine

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