Organization · Type 2 NPI

Passavant Physician Association

Internal Medicine Physician · Jacksonville, IL

NPI number 1720370778 Active

Practice location

559 N Westgate Ave
Jacksonville, IL 62650-1156

Mailing address

1600 W Walnut St
Jacksonville, IL 62650-1136

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X036091905 (IL)
Internal Medicine Physician 207R00000X036056832 (IL)
Adult Health Nurse Practitioner 363LA2200X209004842 (IL)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

4 other providers at this address

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About NPI 1720370778

Passavant Physician Association's National Provider Identifier is 1720370778, issued on May 10, 2011. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Jacksonville, IL. The record was last updated on Jul 6, 2011.