Organization · Type 2 NPI

Jacksonville, LLC

Family Medicine Physician · Jacksonville, IL

NPI number 1740431345 Active

Practice location

1602 W Lafayette Ave
Jacksonville, IL 62650-1007

Fax (217) 243-6165

Mailing address

PO Box 3428
Springfield, IL 62708-3428

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Nurse Practitioner 363L00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9 other providers at this address

Other family medicine physician providers in Jacksonville

See all in Jacksonville →

About NPI 1740431345

Jacksonville, LLC's National Provider Identifier is 1740431345, issued on Oct 2, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jacksonville, IL. The record was last updated on Oct 2, 2008.