Organization · Type 2 NPI

Passavant Memorial Area Hospital Association

Internal Medicine Physician · Jacksonville, IL

NPI number 1760994040 Active

Practice location

1600 W Walnut St
Jacksonville, IL 62650-1136

Fax (217) 479-8781

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician Primary	207R00000X	None listed
Nurse Practitioner	363L00000X	None listed

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…

83 other providers at this address

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NPI record

NPI: 1760994040
Entity type: Organization (Type 2)
Issued: Oct 26, 2017
Last updated: Apr 9, 2018
Status: Active
Subpart: Yes of Passavant Memorial Area Hospital Association

Other names

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Passavant Professional Services · doing business as
Passavant Professional Services · doing business as

Authorized official

Robert L Siltman
Director, Patient Fincnaial Service
(217) 479-5652

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760994040

Passavant Memorial Area Hospital Association's National Provider Identifier is 1760994040, issued on Oct 26, 2017. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Jacksonville, IL. The record was last updated on Apr 9, 2018.