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PASSAVANT PHYSICIAN ASSOCIATION

Internal Medicine Physician

NPI: 1720370778Organization

Specialties, Licenses & Credentials

Internal Medicine PhysicianPrimary

Internal Medicine

Code: 207R00000X

036091905(IL)036056832(IL)
Adult Health Nurse Practitioner

Nurse Practitioner — Adult Health

Code: 363LA2200X

209004842(IL)
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Contact & Hours

Address
559 N WESTGATE AVE
JACKSONVILLE, IL 62650

Quick Facts

NPI
1720370778
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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