Organization · Type 2 NPI

Jacksonville Pediatric Associates, LLC

Rural Health Clinic/Center · Jacksonville, IL

NPI number 1679724181 Active

Practice location

1600 W Walnut St, East Wing, 3rd Floor
Jacksonville, IL 62650-1136

Call (217) 245-5437 Map

Fax (217) 243-3113

Mailing address

PO Box 3428
Springfield, IL 62708-3428

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

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About NPI 1679724181

Jacksonville Pediatric Associates, LLC's National Provider Identifier is 1679724181, issued on Oct 2, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Jacksonville, IL. The record was last updated on Oct 2, 2008.