PASSAVANT PHYSICIAN ASSOCIATION

Rural Health Clinic/Center

NPI: 1972054609Organization

Specialties, Licenses & Credentials

Family Medicine Physician

Family Medicine

Code: 207Q00000X

Internal Medicine Physician

Internal Medicine

Code: 207R00000X

Otolaryngology Physician

Otolaryngology

Code: 207Y00000X

Rural Health Clinic/CenterPrimary

Clinic/Center — Rural Health

Code: 261QR1300X

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Contact & Hours

Address: 559 N WESTGATE AVE
JACKSONVILLE, IL 62650
Phone: (217) 243-5474

Quick Facts

NPI: 1972054609
Entity Type: Organization
Medicare: Not confirmed
Specialties: 4
Locations: 1

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