PASSAVANT PHYSICIAN ASSOCIATION
Organization (NPI-2)
Active
Clinic/Center, Multi-Specialty
Provider Information
- NPI Number
1962689307- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1600 W WALNUT ST, JACKSONVILLE, IL, 626501136
- Phone
- (217) 479-5890
- Fax
- (217) 243-2206
Specialties & Taxonomies
Family Medicine
Surgery
Internal Medicine
Obstetrics & Gynecology, Obstetrics
License: IL #036048526
Otolaryngology
License: IL #036057937
Preventive Medicine, Undersea and Hyperbaric Medicine
Audiologist
Nurse Practitioner, Adult Health
Clinic/Center, Multi-Specialty
Primary