Jacksonville Il Wellness
NPI #1922682822 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1922682822
- Entity Type
- Organization
- Organization Name
- Jacksonville Il Wellness
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- May 7, 2021
- Last Updated
- May 7, 2021
Practice Location
- Address
- 1521 W WALNUT ST STE D
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1153
- Phone
- (217) 279-5815
Authorized Official
- Name
- MS. KATHERINE S. O'NEIL, FNP
- Title
- OWNER
- Phone
- (217) 204-8081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Nurse Practitioner - Family — Family |
| Clinic/Center - Medical Specialty — Medical Specialty |
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