Individual provider · Type 1 NPI

Jayne K. Fedor, P.A.C.

Medical Physician Assistant · Springfield, IL

NPI number 1376538124 Active

Practice location

751 N Rutledge St
Springfield, IL 62702-4909

Call (217) 545-0173 Map

Fax (217) 788-5459

Mailing address

PO Box 19639
Springfield, IL 62794-9639

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1376538124

Jayne K. Fedor, P.A.C.'s National Provider Identifier is 1376538124, issued on Sep 19, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, IL. The record was last updated on Jul 13, 2026.