| Passavant Physician Association | |
|
559 N Westgate Ave Jacksonville IL 62650-1156 | |
| (217) 243-5474 | |
| Not Available |
| Full Name | Passavant Physician Association |
|---|---|
| Speciality | Internal Medicine |
| Location | 559 N Westgate Ave, Jacksonville, Illinois |
| Authorized Official Name and Position | Stephen G Lee (MANAGER) |
| Authorized Official Contact | 2174795890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passavant Physician Association 1600 W Walnut St Jacksonville IL 62650-1136 Ph: (217) 245-9541 | Passavant Physician Association 559 N Westgate Ave Jacksonville IL 62650-1156 Ph: (217) 243-5474 |
| NPI Number | 1720370778 |
|---|---|
| Provider Enumeration Date | 05/10/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720370778 | NPI | - | NPPES |
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