| Jacksonville Wellness | |
|
1521 W Walnut St Ste D Jacksonville IL 62650-1153 | |
| (217) 279-5815 | |
| (217) 279-5816 |
| Full Name | Jacksonville Wellness |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 1521 W Walnut St Ste D, Jacksonville, Illinois |
| Authorized Official Name and Position | Katherine S. O'neil (OWNER) |
| Authorized Official Contact | 2172048081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Wellness 1329 W College Ave Jacksonville IL 62650-2216 Ph: (217) 204-8081 | Jacksonville Wellness 1521 W Walnut St Ste D Jacksonville IL 62650-1153 Ph: (217) 279-5815 |
| NPI Number | 1922682822 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 05/07/2021 |
| Certification Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922682822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
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