JACKSON STREET FAMILY PRACTICE CENTER LTD NPI 1356355259

NPI Information

JACKSON STREET FAMILY PRACTICE CENTER, LTD is a family medicine in Marion, IL. The provider is 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. JACKSON STREET FAMILY PRACTICE CENTER, LTD NPI is 1356355259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3331 W DEYOUNG ST
SUITE 207
MARION, IL
ZIP 62959-896
Phone: (618) 998-7000

The provider's authorized official is Karen Strack .
The authorized official title is Officer and has the following contact phone number (618) 998-7000.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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