Organization · Type 2 NPI

Passavant Physician Association

Multi-Specialty Clinic/Center · Jacksonville, IL

NPI number 1962689307 Active

Practice location

1600 W Walnut St
Jacksonville, IL 62650-1136

Call (217) 479-5890 Map

Fax (217) 243-2206

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics Physician 207VX0000X036048526 (IL)
Otolaryngology Physician 207Y00000X036057937 (IL)
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011XNone listed
Surgery Physician 208600000XNone listed
Audiologist 231H00000XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed

Multi-Specialty Clinic/Center: Definition to come...

83 other providers at this address

Other multi-specialty clinic/center providers in Jacksonville

See all in Jacksonville →

About NPI 1962689307

Passavant Physician Association's National Provider Identifier is 1962689307, issued on Jan 29, 2008. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jacksonville, IL. The record was last updated on Mar 21, 2018.